License holder summary

Bhupendra K. Shah, M.D., P.C. is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for Bhupendra K. Shah, M.D., P.C. is 2452 LAKE AVENUE, FORT WAYNE IN 46805. This licensed professional license is not current. The license was granted 03/04/1985 and expired on 01/31/2010.

Indiana

Professional Licensing Agency

Bhupendra K. Shah, M.D., P.C.
Medical Licensing Board - Medical Corporation
License number
50002658A
Date granted
03/04/1985
Date expires
01/31/2010
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
2452 LAKE AVENUE, FORT WAYNE IN 46805
indianalicensing.org
ID 24826478
LAST UPDATED 2024-05-15 13:12:36 UTC

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