Organization
WOMENS MEDICAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KISHORI P SHAH MD (SOLE PROPRIETOR)
(260) 356-3611
Entity
Organization
Contact information
Practice address
1060 ETNA AVENUE, HUNTINGTON, IN 46750
(260) 356-3611
(260) 358-4263
Mailing address
1060 ETNA AVENUE, HUNTINGTON, IN 46750
(260) 356-3611
(260) 358-4263
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
01026610A
IN
Other
Enumeration date
12/28/2006
Last updated
08/22/2020
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