Individual
DR. ANKUR SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5187
(317) 880-5385
Mailing address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5187
(317) 880-5385
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013413A
IN
1223G0001X
General Practice Dentistry
D10968
OR
Other
Enumeration date
04/12/2018
Last updated
06/24/2020
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