Individual
DR. JAY SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
800 INDIAN BOUNDARY RD, CHESTERTON, IN 46304-1695
(872) 317-0501
(872) 317-0500
Mailing address
10855 VIRGINIA ST, CROWN POINT, IN 46307-0210
(872) 317-0501
(872) 317-0500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125052454
IL
207RC0000X
Cardiovascular Disease Physician
Primary
01072775A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201183930
—
IN
Enumeration date
01/21/2010
Last updated
12/22/2025
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