Shah, Sudha V.
Shah, Sudha V. is an sole proprietor health care provider with primary practice located at 1516 W Devon Ave , Chicago IL 60660-1314. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Shah, Sudha V. can be contacted via phone (773) 465-7889.Contact Information
Primary practice address
1516 W Devon Ave
Chicago IL 60660-1314
Phone: (773) 465-7889
Fax: (773) 465-7615
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 036060895 | Illinois |
Profile Details
| NPI number | 1417966789 |
|---|---|
| LBN Legal business name | Shah, Sudha V. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417966789 | NPPES |
| Illinois | MEDICAID | 036060895 |
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