Upendra C. Shah Mdsc | |
7447 W Talcott Ave Suite # 444 Chicago IL 60631-3745 | |
(773) 631-8474 | |
(773) 631-4180 |
Full Name | Upendra C. Shah Mdsc |
---|---|
Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 7447 W Talcott Ave, Chicago, Illinois |
Authorized Official Name and Position | Upendra C. Shah (PRESIDENT) |
Authorized Official Contact | 7736318474 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Upendra C. Shah Mdsc 7447 W Talcott Ave Suite # 444 Chicago IL 60631-3745 Ph: (773) 631-8474 | Upendra C. Shah Mdsc 7447 W Talcott Ave Suite # 444 Chicago IL 60631-3745 Ph: (773) 631-8474 |
NPI Number | 1043419328 |
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Provider Enumeration Date | 07/16/2007 |
Last Update Date | 08/05/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043419328 | NPI | - | NPPES |
0031620707 | Other | IL | BLUE CROSS BLUE SHIELD |
036057815 | Medicaid | IL | |
0031600707 | Other | IL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 036057815 (* (Not Available)) | Primary |
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