Shah, Harendra P.

Shah, Harendra P. is an individual health care provider with primary practice located at 2744 W Devon Ave Prism Medical Center, Chicago IL 60659-1711. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Shah, Harendra P. can be contacted via phone (773) 262-1300.

Contact Information

Primary practice address
2744 W Devon Ave Prism Medical Center Chicago IL 60659-1711
Phone: (773) 262-1300
Fax: (773) 262-1184
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085-001700 Illinois

Profile Details

NPI number 1306847207
LBN Legal business name Shah, Harendra P.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Feb 19th, 2011 - about 15 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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