Indiana
Professional Licensing Agency
PRIYAMVADA SHAH
Controlled Substance Registration - Physician
License number
01029161B
Date granted
03/26/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Parkview FirstCare-Carew Family Medicine, 1818 Carew Street, Suite 240, FORT WAYNE IN 46805
indianalicensing.org
ID 5854206
LAST UPDATED 2024-02-12 03:58:03 UTC
LAST UPDATED 2024-02-12 03:58:03 UTC
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