# NORTHWEST INDIANA RETINA INSTITUTE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851188114
- **Authorized official:** AADITYA SHAH MD (PHYSICIAN)
- **Authorized official phone:** (219) 259-1760

## Contact information

- **Practice address:** 8895 BROADWAY, MERRILLVILLE, IN 46410-7037
- **Practice address phone:** (219) 259-1760
- **Practice address fax:** (219) 259-1767
- **Mailing address:** 10307 MARLOU DR, MUNSTER, IN 46321-4339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | NULL | Yes |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/21/2025
- **Last updated:** 07/24/2025