Shah, Ravi

Shah, Ravi is an individual health care provider with primary practice located at 2640 183Rd St , Homewood IL 60430-2914. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Shah, Ravi can be contacted via phone (708) 798-6633.

Contact Information

Primary practice address
2640 183Rd St Homewood IL 60430-2914
Phone: (708) 798-6633
Fax: (708) 798-6790
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036172784 Illinois
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X S6038 Texas

Profile Details

NPI number 1295186872
LBN Legal business name Shah, Ravi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2016
Last updated Jan 28th, 2025 - about last year

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 1295186872 NPPES
Texas MEDICAID 411508105

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