Individual
DR. AADITYA VIJAY SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8895 BROADWAY, MERRILLVILLE, IN 46410-7037
(219) 259-1760
(219) 259-1767
Mailing address
8895 BROADWAY, MERRILLVILLE, IN 46410-7037
(219) 259-1760
(219) 259-1767
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
01095570A
IN
207WX0107X
Retina Specialist (Ophthalmology) Physician
2023016112
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200073153
—
MO
Enumeration date
06/19/2019
Last updated
07/29/2025
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