| Mrs Sudha P Shah, MD | |
|
6861 Villagreen Vw, Rockford, IL 61107-5639 | |
| (815) 637-6200 | |
| Not Available |
| Full Name | Mrs Sudha P Shah |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 6861 Villagreen Vw, Rockford, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497753511 | NPI | - | NPPES |
| 036069064 | Medicaid | IL | |
| 31792700 | Other | WI | WISCONSIN MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 036-069064 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Sudha P Shah, MD Po Box 1567, Rockford, IL 61110-0067 Ph: () - | Mrs Sudha P Shah, MD 6861 Villagreen Vw, Rockford, IL 61107-5639 Ph: (815) 637-6200 |
Dr. Lester C Jurgens, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2400 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-5000 Fax: 815-968-9677 | |
Jamie Lynn Plett, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6030 Garrett Ln, Rockford, IL 61107 Phone: 815-226-1172 Fax: 815-226-1595 | |
Kaneez Fatima Ali, MD Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 3505 North Bell School Road, Rockford, IL 61114 Phone: 779-696-0300 | |
Dr. Bruce A Jasper, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 6861 Villagreen Vw, Rockford, IL 61107 Phone: 815-637-6200 | |
Ms. Lee Sesslar, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3505 N. Bell School Rd., Rockford, IL 61114 Phone: 779-696-0300 | |
Mrs. Nicole Oluwabunmi Macaulay, M.D Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5970 Churchview Dr, Rockford, IL 61107 Phone: 815-484-6398 Fax: 815-395-2021 | |
Sarah Bradley, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1401 E State St, Rockford, IL 61104 Phone: 779-696-4400 |