Organization
MIDWEST EYE RETINA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILAN SHAH MD (OWNER)
(317) 805-2200
Entity
Organization
Contact information
Practice address
11220 N ILLINOIS STREET, SUITE 120, CARMEL, IN 46032-9847
(317) 805-2200
(317) 805-4579
Mailing address
11220 ILLINOIS ST STE 120, CARMEL, IN 46032-9847
(317) 805-2200
(317) 805-4579
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
207WX0108X
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201035490
—
IN
Enumeration date
06/16/2011
Last updated
07/15/2025
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