Dr. Mitesh V. Shah M.D.
Neurological Surgery Physician in Indianapolis, IN(View on Map)
Full Name
Dr. Mitesh V Shah M.D.
NPI Number
1851394340
NPI Type
Individual Provider
Gender
Male
Enumeration Date
05/27/2005
Specialties
(Taxonomies)Licenses
State
Indiana
License Number
01042456
Contact
Information
Purpose
Mailing
Location
Address
250 N SHADELAND AVE
355 W 16TH ST
City
Indianapolis
Indianapolis
State
IN
IN
Postal Code
46219-4959
46202-2207
Country
US
US
Telephone Number
N/A
(317) 396-1300
Identifiers
Identifier
000000639720
200002190
Identifier State
IN
IN
Identifier Issuer
ANTHEM BLUE CROSS AND BLUE SHIELD
Unknown
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
mshah@direct.iuhealth.org
Endpoint Description
Unknown
Use
Unknown
Content Type
Unknown
Affiliation
N
Endpoint Location
355 W 16th StSuite 5100Indianapolis, IN462022207US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/05/2021
Provider Address
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