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Contact Information

SAMIR H SHAH, MD
1701 S CREASY LN
LAFAYETTE, IN47905-4972
 Phone: 765-502-4000
 Fax: 765-502-4709
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Undersea and Hyperbaric Medicine

207PE0005X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for SAMIR H SHAH · (Male)

NPI # 1053592501
Status Active
Credentials MD
Entity Individual
Enumeration date 11/26/2007
Last updated 09/28/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01065714A
Hospital affiliation(s)
  • FRANCISCAN ST ELIZABETH HEALTH - CRAWFORDSVILLE - (Acute Care)
    1710 LAFAYETTE RD
    CRAWFORDSVILLE, IN 47933
  • FRANCISCAN ST ELIZABETH HEALTH - LAFAYETTE EAST - (Acute Care)
    1701 S CREASY LN
    LAFAYETTE, IN 47905
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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