Shah, Namrata Jagdish

Shah, Namrata Jagdish is an individual health care provider with primary practice located at 1950 45Th St Ste 200 , Munster IN 46321-3958. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Shah, Namrata Jagdish can be contacted via phone (219) 912-3376.

Contact Information

Primary practice address
1950 45Th St Ste 200 Munster IN 46321-3958
Phone: (219) 912-3376
Fax: (219) 529-6267
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 01064342A Indiana
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036-115856 Illinois

Profile Details

NPI number 1548460173
LBN Legal business name Shah, Namrata Jagdish
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2007
Last updated Sep 29th, 2022 - about 2 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 1548460173 NPPES
Indiana MEDICAID 200880790A

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