Organization
SKIN DERMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAMRATA SHAH MD (PARTNER)
(312) 961-4067
Entity
Organization
Contact information
Practice address
1950 45TH ST STE 200, MUNSTER, IN 46321-3958
(219) 912-3376
(219) 529-6267
Mailing address
1950 45TH ST STE 200, MUNSTER, IN 46321-3958
(219) 912-3376
(219) 529-6267
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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