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Contact Information

ANIL R SHAH, MD
9800 VALPARAISO DR
MUNSTER, IN46321-4040
 Phone: 219-934-5800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Facial Plastic Surgery

207YS0123X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for ANIL R SHAH · (Male)

NPI Number 1972521086
Status Active
Credentials MD
Entity Individual
Enumeration date 07/17/2006
Last updated 06/08/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036120006
  • IN License # 01066901A
  • NY License # 235640
  • IN Medicaid 200948380
  • NY Other 235640 NYS LICENSE#
Hospital affiliation(s) Not Available
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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