Individual provider · Type 1 NPI
Bhupendra K. Shah, MD
Neurology Physician · Fort Wayne, IN
NPI number
1760480800
Active
Practice location
2452 Lake Ave
Fort Wayne, IN 46805-5406
Fax (260) 422-9142
Mailing address
PO Box 12409
Fort Wayne, IN 46863-2409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology Physician Primary | 2084N0400X | 01030038A (IN) |
Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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About NPI 1760480800
Bhupendra K. Shah, MD's National Provider Identifier is 1760480800, issued on Jul 12, 2005. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Fort Wayne, IN. The record was last updated on Jun 28, 2009.