Individual
DR. MAHENDRA M SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8554 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 750-9581
(219) 750-9781
Mailing address
715 DR MARTIN LUTHER KING JR AVE NE STE 102, ALBUQUERQUE, NM 87102-3666
(505) 727-3040
(505) 727-3099
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01029974
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100202010A
—
IN
05
—
82879257
—
NM
Enumeration date
05/18/2006
Last updated
03/05/2019
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