Shah, Shirish N

Shah, Shirish N is an individual health care provider with primary practice located at 5600 W Addison St Ste 400, Chicago IL 60634-4401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Shah, Shirish N can be contacted via phone (773) 283-2448.

Contact Information

Primary practice address
5600 W Addison St Ste 400 Chicago IL 60634-4401
Fax: (773) 283-0205
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036052035 Illinois

Profile Details

NPI number 1972542611
LBN Legal business name Shah, Shirish N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Dec 4th, 2014 - about 12 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 1972542611 NPPES
Illinois MEDICAID 036052035

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