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Individual

TANAY SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1050 REID PKWY STE 220, RICHMOND, IN 47374-1160
(765) 962-9541
(765) 966-5952
Mailing address
1100 REID PARKWAY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374
(765) 935-8802
(765) 983-3219

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01083696A
IN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/23/2016
Last updated
05/18/2021
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