Individual
DIPAK T SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5454 HOHMAN AVE, HAMMOND, IN 46320-1931
(219) 933-2270
(219) 852-2515
Mailing address
2009 MIDWEST CLUB PKWY, OAK BROOK, IL 60523-2526
(630) 272-7950
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01055335A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200404970
—
IN
Enumeration date
09/30/2005
Last updated
01/16/2014
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