Individual
DR. DIPEN V SHAH
Active
Individual
DR. DIPEN V SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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