D U Shah Md Sc | |
3845 Whispering Trails Dr Hoffman Estates IL 60192-1562 | |
(847) 358-8578 | |
Not Available |
Full Name | D U Shah Md Sc |
---|---|
Speciality | Internal Medicine |
Location | 3845 Whispering Trails Dr, Hoffman Estates, Illinois |
Authorized Official Name and Position | Devendra Shah (PRESIDENT) |
Authorized Official Contact | 8473588578 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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D U Shah Md Sc 3845 Whispering Trails Dr Hoffman Estates IL 60192-1562 Ph: (847) 358-8578 | D U Shah Md Sc 3845 Whispering Trails Dr Hoffman Estates IL 60192-1562 Ph: (847) 358-8578 |
NPI Number | 1861957177 |
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Provider Enumeration Date | 01/31/2019 |
Last Update Date | 01/31/2019 |
Medicare PECOS PAC ID | 6901145044 |
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Medicare Enrollment ID | O20190306003303 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861957177 | NPI | - | NPPES |
036060802 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Devendra U Shah |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700952140 PECOS PAC ID: 9739219643 Enrollment ID: I20100618000556 |
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