Shah, Ankur Manilal

Shah, Ankur Manilal is an individual health care provider with primary practice located at 1230 Centre West Dr , Springfield IL 62704-2173. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Shah, Ankur Manilal can be contacted via phone (217) 321-2020.

Contact Information

Primary practice address
1230 Centre West Dr Springfield IL 62704-2173
Phone: (217) 321-2020
Fax: (217) 321-2026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036.125518 Illinois

Profile Details

NPI number 1851590343
LBN Legal business name Shah, Ankur Manilal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2007
Last updated Jan 10th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851590343 NPPES
Wisconsin MEDICAID 1851590343
Wisconsin MEDICAID 036125518 2

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