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1760480800
BHUPENDRA K SHAH
FORT WAYNE, IN
NPI
1760480800
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: IN 01030038a)
Enumeration Date
2005-07-12
Last Update Date
2009-06-28
Business Address
-- BHUPENDRA K SHAH M.D.
2452 LAKE AVE
FORT WAYNE, IN 46805-5406
Phone number: 260-422-9494
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Mailing Address
-- BHUPENDRA K SHAH M.D.
PO BOX 12409
FORT WAYNE, IN 46863-2409
Phone number: 260-422-9494
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