Shah, Bhavin Chandrakant
Shah, Bhavin Chandrakant is an individual health care provider with primary practice located at 301 Madison St Ste 302 , Joliet IL 60435-6995. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Shah, Bhavin Chandrakant can be contacted via phone (815) 582-3177.Contact Information
Primary practice address
301 Madison St Ste 302
Joliet IL 60435-6995
Phone: (815) 582-3177
Fax: (815) 582-3754
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036.138823 | Illinois |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 036.138823 | Illinois |
Profile Details
| NPI number | 1306078910 |
|---|---|
| LBN Legal business name | Shah, Bhavin Chandrakant |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2009 |
| Last updated | Jun 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306078910 | NPPES |
| Illinois | MEDICAID | 036138823 | |
| Illinois | Other | F400259208 |
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