| Shah Medical Center S.c. | |
|
484 Summit St Elgin IL 60120-3829 | |
| (847) 742-5530 | |
| (847) 695-6543 |
| Full Name | Shah Medical Center S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 484 Summit St, Elgin, Illinois |
| Authorized Official Name and Position | Devendra U Shah (OWNER) |
| Authorized Official Contact | 8477425530 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shah Medical Center S.c. 484 Summit St Elgin IL 60120-3829 Ph: (847) 742-5530 | Shah Medical Center S.c. 484 Summit St Elgin IL 60120-3829 Ph: (847) 742-5530 |
| NPI Number | 1093851933 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 05/03/2010 |
| Medicare PECOS PAC ID | 6305976218 |
|---|---|
| Medicare Enrollment ID | O20100618000530 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093851933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Devendra U Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700952140 PECOS PAC ID: 9739219643 Enrollment ID: I20100618000556 |
| Provider Name | Heena M Shyamani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629145727 PECOS PAC ID: 8224160817 Enrollment ID: I20100716000751 |
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