Individual
NIYATI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2802 LAFAYETTE RD STE 33, INDIANAPOLIS, IN 46222-2112
(317) 925-2810
Mailing address
2802 LAFAYETTE RD STE 33, INDIANAPOLIS, IN 46222-2112
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012991A
IN
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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