PRIYAMVADA N SHAH MD
NPI 1174500664
Family Medicine in Fort Wayne, IN

Q: What is Priyamvada Shah's NPI number?

The NPI number for Priyamvada Shah is 1174500664. It was assigned to this individual provider in the NPPES registry on December 27, 2005. The provider is also known as Priya N Shah.

Q: What is Priyamvada Shah's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Priyamvada Shah was last updated on July 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 27, 2005

8911 LIBERTY MILLS RD, FORT WAYNE, IN 46804(260) 373-9465(260) 266-9406 Get Directions Write a Review

NPPES record last updated: July 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Priyamvada N Shah Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIYAMVADA N SHAH MD (NPI 1174500664) is an individual family medicine provider in Fort Wayne, Indiana, licensed in Indiana (01029161A) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1174500664

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NamePRIYAMVADA N SHAHCredential: MD

Location Address8911 LIBERTY MILLS RDFort Wayne, IN 46804-6311

Mailing Address8911 Liberty Mills RdFort Wayne, IN 46804-6311 · (260) 373-9465 · Fax (260) 266-9406

Phone(260) 373-9465

Fax(260) 266-9406

Sole ProprietorNo

Enumeration DateDecember 27, 2005

Last NPPES UpdateJuly 28, 2016

✔ NPI 1174500664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 01029161A

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

8911 LIBERTY MILLS RD, Fort Wayne, IN 46804

Open in Google Maps ↗

Other Names 1

Professional Name (2)Priya N Shah

Other Identifiers 10

Other3937240003IN · Medicare Dmepos

Other4052315Aetna

Other080130031Railroad Medicare

Other1845IN · Physicians Health Plan

Other0000002003211IN · Anthem

Medicare UPIND67782IN

Other000000111784Anthem

Medicare PIN070840AIN

Medicare PIN069860HIN

Medicaid100051620IN

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROOKE MARIE KEENE NP

Nurse Practitioner