| Sejal Shah Md Ltd | |
|
610 S Maple Ave Suite 3440 Oak Park IL 60304-1091 | |
| (708) 680-6449 | |
| (708) 660-5349 |
| Full Name | Sejal Shah Md Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 610 S Maple Ave, Oak Park, Illinois |
| Authorized Official Name and Position | Sejal Shah (MD) |
| Authorized Official Contact | 7086806449 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sejal Shah Md Ltd 610 S Maple Ave Suite 3440 Oak Park IL 60304-1091 Ph: (708) 680-6449 | Sejal Shah Md Ltd 610 S Maple Ave Suite 3440 Oak Park IL 60304-1091 Ph: (708) 680-6449 |
| NPI Number | 1427247584 |
|---|---|
| Provider Enumeration Date | 10/15/2007 |
| Last Update Date | 11/11/2019 |
| Medicare PECOS PAC ID | 2466541321 |
|---|---|
| Medicare Enrollment ID | O20071130000348 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427247584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036-110950 (Illinois) | Primary |
| Provider Name | Sejal Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649201039 PECOS PAC ID: 1153324405 Enrollment ID: I20060807000362 |
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