Individual
SARGAM SHAH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
2872 E DUPONT RD, FORT WAYNE, IN 46825-1669
(260) 497-0838
(260) 497-9088
Mailing address
2872 E DUPONT RD, FORT WAYNE, IN 46825-1669
(260) 497-0838
(260) 497-9088
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
05007841A
IN
Other
Enumeration date
11/09/2005
Last updated
07/08/2007
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