Individual
PRIYAMVADA N SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8911 LIBERTY MILLS RD, FORT WAYNE, IN 46804-6311
(260) 373-9465
(260) 266-9406
Mailing address
8911 LIBERTY MILLS RD, FORT WAYNE, IN 46804-6311
(260) 373-9465
(260) 266-9406
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01029161A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000111784
ANTHEM
—
01
—
0000002003211
ANTHEM
IN
01
—
080130031
RAILROAD MEDICARE
—
05
—
100051620
—
IN
01
—
1845
PHYSICIANS HEALTH PLAN
IN
01
—
3937240003
MEDICARE DMEPOS
IN
01
—
4052315
AETNA
—
Enumeration date
12/27/2005
Last updated
07/28/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us