Individual
ATEET H SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7430 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46250
(317) 621-0668
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-1647
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
01063713A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000595630
ANTHEM
IN
05
—
200871150
—
IN
Enumeration date
04/10/2007
Last updated
06/08/2021
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