Shah, Mitesh V

Shah, Mitesh V is an individual health care provider with primary practice located at 355 W 16Th St Suite 5100, Indianapolis IN 46202-2207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Shah, Mitesh V can be contacted via phone (317) 396-1300.

Contact Information

Primary practice address
355 W 16Th St Suite 5100 Indianapolis IN 46202-2207
Phone: (317) 396-1300
Fax: (317) 924-8472
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 01042456 Indiana

Profile Details

NPI number 1851394340
LBN Legal business name Shah, Mitesh V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Jan 5th, 2021 - about 3 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 1851394340 NPPES
Indiana Other 000000639720 ANTHEM BLUE CROSS AND BLUE SHIELD
Indiana MEDICAID 200002190 ANTHEM BLUE CROSS AND BLUE SHIELD

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