Individual
DR. KISHORI PIYUSH SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2814 THEATER AVE, HUNTINGTON, IN 46750-7978
(260) 356-3611
(260) 358-4263
Mailing address
2814 THEATER AVE, HUNTINGTON, IN 46750-7978
(260) 356-3611
(260) 358-4263
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
01026610A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100467980B
—
IN
Enumeration date
04/14/2006
Last updated
02/21/2013
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