Individual
KUSHAL J SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 E COUNTY LINE RD STE 202, GREENWOOD, IN 46143-1063
(317) 396-1300
(317) 317-3418
Mailing address
13345 ILLINOIS ST, CARMEL, IN 46032-3318
(317) 396-1300
(317) 352-3417
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
01078267A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01078267A
MD LICENSE
IN
Enumeration date
06/22/2010
Last updated
04/19/2022
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