Individual
DHIRAJ SHAH
Active
Individual
DHIRAJ SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01087976A
IN
208M00000X
Hospitalist Physician
01087976A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102638432
ANTHEM
IN
Enumeration date
07/25/2019
Last updated
11/08/2022
Update your record
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