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Individual

JANAKI MUKUND SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
10855 VIRGINIA ST, CROWN POINT, IN 46307-0210
(317) 507-2958
Mailing address
1400 S MICHIGAN AVE APT 1203, CHICAGO, IL 60605-3720
(312) 767-3244

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01096400A
IN
207RG0100X
Gastroenterology Physician
036.175400
IL

Other

Enumeration date
06/20/2019
Last updated
06/25/2025
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