Shah, Mahendra M

Shah, Mahendra M is an individual health care provider with primary practice located at 8554 Broadway , Merrillville IN 46410-7032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Shah, Mahendra M can be contacted via phone (219) 750-9581.

Contact Information

Primary practice address
8554 Broadway Merrillville IN 46410-7032
Phone: (219) 750-9581
Fax: (219) 750-9781
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 01029974 Indiana

Profile Details

NPI number 1801849997
LBN Legal business name Shah, Mahendra M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Mar 5th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801849997 NPPES
New Mexico MEDICAID 82879257
New Mexico MEDICAID 100202010A

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