Jyoti R Shah in Indianapolis - General Practice

Jyoti R Shah - NPI 1164511523

Jyoti R Shah is a General Practice in Indianapolis, Indiana. Jyoti R Shah practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jyoti R Shah is 1164511523. The last update date is 2007-07-08.

Jyoti R Shah's current location address is 7420 N Shadeland Ave, Indianapolis, Indiana. You can contact this provider via phone number 3179150787 and fax number 3179150788. The mailing address for Jyoti R Shah is 7420 N Shadeland Ave, Indianapolis, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Jyoti R Shah
Address 7420 N Shadeland Ave, Indianapolis, Indiana
Phone Number 3179150787
Fax Number 3179150788
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1164511523
Provider Enumeration Date 2006-10-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7420 N Shadeland Ave
City Indianapolis
State Indiana (IN)
Post Code 462502025
Phone Number 3179150787
Fax Number 3179150788

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 12010068A
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200206200 IN --

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FAQs about Jyoti R Shah

What is the unique 10-digit identifier code assigned to Jyoti R Shah by the Centers for Medicare & Medicaid Services?

The Jyoti R Shah has been issued the NPI (National Provider Identifier) 1164511523 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Jyoti R Shah's facilities are geographically located?

The facilities of Jyoti R Shah are physically situated at the following location: 7420 N Shadeland Ave, Indianapolis, IN, 462502025.

What is Jyoti R Shah's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jyoti R Shah is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

On what date did the Jyoti R Shah receive its 1164511523 assignment from the Centers for Medicare & Medicaid Services?

The Jyoti R Shah was assigned its 1164511523 by the Centers for Medicare & Medicaid Services on 2006-10-12.

As of what date was the information regarding Jyoti R Shah, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jyoti R Shah, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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