Priyamvada N Shah, MD - Family Medicine in Fort Wayne, IN

Priyamvada N Shah, MD is a Family Medicine physician based in Fort Wayne, Indiana. Priyamvada N Shah is licensed to practice in Indiana (license number 01029161A) and her current practice location is 8911 Liberty Mills Rd, Fort Wayne, Indiana. She can be reached at her office (for appointments etc.) via phone at (260) 373-9465.

NPI number for Priyamvada N Shah is 1174500664 and her current mailing address is 8911 Liberty Mills Rd, Fort Wayne, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174500664.

Contact Information

Priyamvada N Shah, MD
8911 Liberty Mills Rd,
Fort Wayne, IN 46804-6311
(260) 373-9465
(260) 266-9406



Physician's Profile

Full NamePriyamvada N Shah
GenderFemale
SpecialityFamily Medicine
Location8911 Liberty Mills Rd, Fort Wayne, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174500664
  • Provider Enumeration Date: 12/27/2005
  • Last Update Date: 07/28/2016

Medical Identifiers

Medical identifiers for Priyamvada N Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174500664NPI-NPPES
000000111784OtherANTHEM
0000002003211OtherINANTHEM
100051620MedicaidIN
1845OtherINPHYSICIANS HEALTH PLAN
3937240003OtherINMEDICARE DMEPOS
4052315OtherAETNA
080130031OtherRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 01029161A (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Priyamvada N Shah is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Priyamvada N Shah, MD
8911 Liberty Mills Rd,
Fort Wayne, IN 46804-6311

Ph: (260) 373-9465
Priyamvada N Shah, MD
8911 Liberty Mills Rd,
Fort Wayne, IN 46804-6311

Ph: (260) 373-9465

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Family Medicine Doctors in Fort Wayne, IN

Rebecca Mason, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8233 Glencarin Blvd, Fort Wayne, IN 46804
Phone: 260-425-5470    Fax: 260-425-5475
Anthony D Dennis, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 11635 Coldwater Rd, Fort Wayne, IN 46845
Phone: 260-637-1661    Fax: 260-637-1601
Dr. Charles R Pattan, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11050 Parkview Circle Dr, Fort Wayne, IN 46845
Phone: 833-724-8326    Fax: 260-266-8941
Gregory L Chupp, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845
Phone: 260-469-6610    
Christina Mcguirk,
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 2200 Randallia Dr, Fort Wayne, IN 46805
Phone: 260-373-4000    
Samantha Dawn Warden, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 750 Broadway Ste 350, Fort Wayne, IN 46802
Phone: 260-423-2675    Fax: 260-423-6621
Dr. Mary Ann O'brien, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845
Phone: 260-496-6602    Fax: 260-969-3065

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