License holder summary

Surendra J. Shah, M.D., P.C. is a Radiology - Radiation Facility Medical licensed to practice in Indiana. The address on file for Surendra J. Shah, M.D., P.C. is 5825 Broadway, Suite A, Merrillville IN 46410-2664. This licensed professional license is not current. The license was granted 11/01/2005 and expired on 09/16/2009.

Indiana

Professional Licensing Agency

Surendra J. Shah, M.D., P.C.
Radiology - Radiation Facility Medical
License number
XF200661
Date granted
11/01/2005
Date expires
09/16/2009
Class
Radiology - Radiation Facility Medical
Status
Expired
Address
5825 Broadway, Suite A, Merrillville IN 46410-2664
indianalicensing.org
ID 24943509
LAST UPDATED 2024-03-28 01:40:25 UTC

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