| Dhiraj Shah, MD | |
|
441 N Wabash Ave, Marion, IN 46952-2612 | |
| (765) 662-4236 | |
| (765) 662-4903 |
| Full Name | Dhiraj Shah |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 441 N Wabash Ave, Marion, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053965392 | NPI | - | NPPES |
| 1102638432 | Other | IN | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 01087976A (Indiana) | Secondary |
| 207R00000X | Internal Medicine | 01087976A (Indiana) | Primary |
| Entity Name | Marion General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528099041 PECOS PAC ID: 9133023625 Enrollment ID: O20040524001483 |
| Mailing Address | Practice Location Address |
|---|---|
| Dhiraj Shah, MD 330 N Wabash Ave Ste G-20, Marion, IN 46952-2605 Ph: (765) 660-7616 | Dhiraj Shah, MD 441 N Wabash Ave, Marion, IN 46952-2612 Ph: (765) 662-4236 |
Mohammad Nabi Sharif, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 330 N Wabash Ave Ste 110, Marion, IN 46952 Phone: 765-664-1201 | |
Subodh S Gupte, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1614 N Baldwin Ave, Marion, IN 46952 Phone: 765-664-1201 Fax: 765-664-2866 | |
Daniel T Barrido Jr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 610 N River Dr, Marion, IN 46952 Phone: 765-662-9870 Fax: 765-662-9907 | |
Dharam Raj, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1251 Kem Rd, Suite B, Marion, IN 46952 Phone: 765-662-8696 Fax: 765-662-8738 | |
Dr. Fatih Burak Kaner, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 441 N Wabash Ave, Marion, IN 46952 Phone: 765-660-6000 | |
Dr. Edmond A. Bendaly, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 831 Theatre Drive, Marion, IN 46952 Phone: 765-660-7800 Fax: 765-662-4470 | |
Amjad Shahir Ata Alrashdan, MBBS Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 330 N Wabash Ave Ste 110, Marion, IN 46952 Phone: 765-664-1201 |