Shah, Anil R

Shah, Anil R is an sole proprietor health care provider with primary practice located at 9800 Valparaiso Dr , Munster IN 46321-4040. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Shah, Anil R can be contacted via phone (219) 934-5800.

Contact Information

Primary practice address
9800 Valparaiso Dr Munster IN 46321-4040
Phone: (219) 934-5800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 235640 New York
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 036120006 Illinois
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 01066901A Indiana

Profile Details

NPI number 1972521086
LBN Legal business name Shah, Anil R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Jun 8th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972521086 NPPES
Indiana MEDICAID 200948380
Indiana Other 235640

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