# SHIVANG SHAH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1306157193
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MT197941 | PA | — |
| 207RC0000X | Cardiovascular Disease Physician | 01080644A | IN | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 01080644A | IN | Yes |

## Other

- **Enumeration date:** 06/25/2010
- **Last updated:** 09/29/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 300017674 | — | IN |