Shah, Asad
Shah, Asad is an sole proprietor health care provider with primary practice located at 2560 Hauser Ross Dr Suite 450, Sycamore IL 60178-3150. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shah, Asad can be contacted via phone (815) 748-0340.Contact Information
Primary practice address
2560 Hauser Ross Dr Suite 450
Sycamore IL 60178-3150
Phone: (815) 748-0340
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036103130 | Illinois |
Profile Details
| NPI number | 1588631378 |
|---|---|
| LBN Legal business name | Shah, Asad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Jul 14th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588631378 | NPPES |
| Illinois | MEDICAID | 036103130 |
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