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Contact Information

DISHA SHAH, MD
6400 DUTCHMANS PKWY
SUITE 175
LOUISVILLE, KY40205-3340
 Phone: 502-361-6055
 Fax: 502-361-6087
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for DISHA SHAH · (Female)

NPI # 1366671265
Status Active
Credentials MD
Entity Individual
Enumeration date 07/13/2009
Last updated 02/04/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 46305
  • PA License # MD439334
  • KY Medicaid 7100250160
  • KY Other P01253581 RAILROAD MEDICARE
Hospital affiliation(s)
  • JEWISH HOSPITAL & ST MARY'S HEALTHCARE - (Acute Care)
    200 ABRAHAM FLEXNER WAY
    LOUISVILLE, KY 40202
  • JEWISH HOSPITAL - SHELBYVILLE - (Acute Care)
    727 HOSPITAL DRIVE
    SHELBYVILLE, KY 40065
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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