Indiana
Professional Licensing Agency
Nirav Surendra Shah
Controlled Substance Registration - Physician
License number
01070217B
Date granted
09/13/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Methodist Hospital, 600 Grant Street Room 274, Gary IN 46402
indianalicensing.org
ID 5857176
LAST UPDATED 2026-05-01 17:39:26 UTC
LAST UPDATED 2026-05-01 17:39:26 UTC
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