Dr. Anil R Shah
Otolaryngologist (ENT Doctor) Facial Plastic Surgeon
9800 Valparaiso Dr
Munster
, Indiana 46321-4040
Dr. Anil R Shah
Otolaryngologist (ENT Doctor) Facial Plastic Surgeon
9800 Valparaiso Dr
Munster
, Indiana 46321-4040
(219) 934-2478
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Anil R Shah
- 757 45th Ave Ste. 201
- Munster, IN
- Zip : 46321-2911
- Fax : (219) 934-2478
- Phone : (219) 934-2461
Second Address
- Dr. Anil R Shah
- 9800 Valparaiso Dr
- Munster, IN
- Zip : 46321-4040
- Phone : (219) 934-5800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 01066901A | IN |
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | 235640 | NY |
| N | 207YS0123X | Facial Plastic Surgeon | 036120006 | IL |
National Provider Identifier
| NPI | 1972521086 |
|---|---|
| Provider Name | Dr. Anil R Shah |
| First Address | Munster, IN 46321-2911 |
| Second Address | Munster, IN 46321-4040 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2006 |
| Last Update Date | 08/06/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200948380 | (05) | IN |
| 235640 | NYS LICENSE# (01) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.