Individual
APEKSHA R SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3421 CASSOPOLIS ST STE 200, ELKHART, IN 46514-6774
(574) 335-8180
Mailing address
707 CEDAR ST STE 405, SOUTH BEND, IN 46617-2059
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71010156A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300040176
—
IN
Enumeration date
04/10/2020
Last updated
11/10/2023
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