Individual
DR. NAMRATA JAGDISH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
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
01064342A
IN
207N00000X
Dermatology Physician
036-115856
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200880790A
—
IN
Enumeration date
07/22/2007
Last updated
09/29/2022
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