Individual
DR. HIMANSHU SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD, RADIOLOGY DEPT, INDIANAPOLIS, IN 46202-1239
(317) 715-6402
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01041421
IN
2085R0204X
Vascular & Interventional Radiology Physician
01041421
IN
2085R0204X
Vascular & Interventional Radiology Physician
Primary
01041421A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100020630
—
IN
Enumeration date
06/27/2006
Last updated
12/19/2023
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