Individual
DR. ADITYA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6920 INDIANAPOLIS BLVD, HAMMOND, IN 46324
(219) 763-8112
(219) 844-9006
Mailing address
PO BOX 1430, PORTAGE, IN 46368-9230
(219) 763-8112
(219) 764-5380
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01081020A
IN
Other
Enumeration date
03/31/2015
Last updated
08/17/2018
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