Individual
DR. DIPEN V SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1332 N 7TH ST, TERRE HAUTE, IN 47807-1004
(812) 478-8888
(812) 478-1114
Mailing address
718 RICHLAND DR, TERRE HAUTE, IN 47802-9026
(812) 478-8888
(812) 478-1114
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
BS7474149
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000201040
COMMERICAL
IN
01
—
110229100
RR MEDICARE
IN
05
—
200329680
—
IN
01
—
352137349
TAX ID
IN
01
—
P01045888
RAILROAD MEDICARE
IN
Enumeration date
10/12/2006
Last updated
07/19/2012
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