| Surendra J Shah Pc | |
|
5825 Broadway Suite A Merrillville IN 46410-2687 | |
| (219) 884-1400 | |
| (219) 884-1453 |
| Full Name | Surendra J Shah Pc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 5825 Broadway, Merrillville, Indiana |
| Authorized Official Name and Position | Surendra J Shah (OWNER) |
| Authorized Official Contact | 2198841400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surendra J Shah Pc 5825 Broadway Suite A Merrillville IN 46410-2687 Ph: (219) 884-1400 | Surendra J Shah Pc 5825 Broadway Suite A Merrillville IN 46410-2687 Ph: (219) 884-1400 |
| NPI Number | 1437338829 |
|---|---|
| Provider Enumeration Date | 11/01/2007 |
| Last Update Date | 12/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437338829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 01032180A (Indiana) | Primary |
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