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Contact Information

BAHADUR SHAH, MD
2015 JACKSON ST
ANDERSON, IN46016
 Phone: 765-649-2511
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for BAHADUR SHAH · (Male)

NPI # 1912010547
Status Active
Credentials MD
Entity Individual
Enumeration date 08/17/2006
Last updated 02/04/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 01078604A
  • OH License # 35-087325
  • OH Medicaid 2638006
Hospital affiliation(s)
  • INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL - (Acute Care)
    601 W SECOND ST
    BLOOMINGTON, IN 47403
  • SAINT JOHN'S HEALTH SYSTEM - (Acute Care)
    2015 JACKSON ST
    ANDERSON, IN 46016
  • ST JOSEPH HOSPITAL & HEALTH CENTER INC - (Acute Care)
    1907 W SYCAMORE ST
    KOKOMO, IN 46904
  • ST VINCENT CARMEL HOSPITAL INC - (Acute Care)
    13500 N MERIDIAN ST
    CARMEL, IN 46032
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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