Shah, Mir Jafar

Shah, Mir Jafar is an individual health care provider with primary practice located at Comprrehensive Cancer Center 3900 Burke Drive, Olympia Fields IL 60461. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Shah, Mir Jafar can be contacted via phone (709) 747-4000.

Contact Information

Primary practice address
Comprrehensive Cancer Center 3900 Burke Drive Olympia Fields IL 60461
Phone: (709) 747-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Illinois
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 036-048869 Illinois

Profile Details

NPI number 1720035009
LBN Legal business name Shah, Mir Jafar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Aug 15th, 2016 - about 10 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 1720035009 NPPES
Illinois MEDICAID 036048869
Illinois Other F400308371

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