Shah, Shivani Pankaj

Shah, Shivani Pankaj is an sole proprietor health care provider with primary practice located at 12 Salt Creek Ln Suite 106, Hinsdale IL 60521-8605. She recently has 2 registered licenses in different health care specialties including Hospitals / Children, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is her primary health care specialty. Shah, Shivani Pankaj can be contacted via phone (630) 856-2731.

Contact Information

Primary practice address
12 Salt Creek Ln Suite 106 Hinsdale IL 60521-8605
Phone: (630) 856-2731
Fax: (630) 323-0260
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Children 282NC2000X 036.120677 Illinois
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 036120677 Illinois

Profile Details

NPI number 1255591632
LBN Legal business name Shah, Shivani Pankaj
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2008
Last updated Feb 25th, 2013 - 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 1255591632 NPPES
Other 399980 MEDICARE GROUP PTAN

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