IndividualActive
Bhupendra Shah, M.D.
NPI 1760480800 · Neurology Physician · Fort Wayne, IN
Provider details
- NPI number
- 1760480800
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 01030038A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2452 Lake Ave
Fort Wayne, IN 46805-5406
Phone: (260) 422-9494
Fax: (260) 422-9142
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 12409
Fort Wayne, IN 46863-2409
Registry dates
- Enumerated
- 2005-07-12
- Last updated
- 2009-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.