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1578958278
ADITYA SHAH
HAMMOND, IN
NPI
1578958278
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01081020A)
Enumeration Date
2015-03-31
Last Update Date
2018-08-17
Business Address
Dr. ADITYA SHAH M.D.
6920 INDIANAPOLIS BLVD
HAMMOND, IN 46324
Phone number: 219-763-8112
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Mailing Address
Dr. ADITYA SHAH M.D.
PO BOX 1430
PORTAGE, IN 46368-9230
Phone number: 219-763-8112
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