BHUPENDRA K SHAH M.D.
NPI 1760480800
Psychiatry & Neurology - Neurology in Fort Wayne, IN

Q: What is Bhupendra Shah's NPI number?

The NPI number for Bhupendra Shah is 1760480800. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Q: What is Bhupendra Shah's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Bhupendra Shah was last updated on June 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 July 12, 2005

2452 LAKE AVE, FORT WAYNE, IN 46805(260) 422-9494(260) 422-9142 Get Directions Write a Review

NPPES record last updated: June 28, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Bhupendra K Shah M.d. NPPES

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

BHUPENDRA K SHAH M.D. (NPI 1760480800) is an individual neurology provider in Fort Wayne, Indiana, licensed in Indiana (01030038A) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1760480800

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameBHUPENDRA K SHAHCredential: M.D.

Location Address2452 LAKE AVEFort Wayne, IN 46805-5406

Mailing AddressPo Box 12409Fort Wayne, IN 46863-2409 · (260) 422-9494 · Fax (260) 422-9142

Phone(260) 422-9494

Fax(260) 422-9142

Sole ProprietorYes

Enumeration DateJuly 12, 2005

Last NPPES UpdateJune 28, 2009

✔ NPI 1760480800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in IN · 01030038A

Definition

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.

2452 LAKE AVE, Fort Wayne, IN 46805

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Other Identifiers 3

Medicare PIN150640BBBB

Medicare UPINC24504IN

Medicaid100079820AIN

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bhupendra Shah's NPI number?

The NPI number for Bhupendra Shah is 1760480800. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Bhupendra Shah located?

Bhupendra Shah practices at 2452 Lake Ave, Fort Wayne, IN 46805. The listed phone number is (260) 422-9494.

What is Bhupendra Shah's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Bhupendra Shah was last updated on June 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.