Sudha V. Shah
M.D. | Pediatric Adolescent Medicine | Female
Sudha V. Shah, M.D. is a Chicago, Illinois based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Sudha V. Shah is
1516 W Devon Ave, Chicago, Illinois - 60660-1314. She can be contacted on phone at
773-465-7889 and fax number 773-465-7615.
Sudha V. Shah is a sole proprietor of her business.
NPI number (Unique professional ID) for Sudha V. Shah is
1417966789 which was assigned by NPPES on 05 Aug, 2006 and it was last updated on 08 Jul, 2007.
Sudha V. Shah license number is
036060895 for Pediatrics Adolescent Medicine (2080A0000X) in Illinois.
Sudha V. Shah specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Sudha V. Shah basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Sudha V. Shah |
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| Credential : | M.D. |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Sudha V. Shah address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1516 W Devon Ave
Chicago, IL, 60660-1314
United States |
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| Phone Number : | 773-465-7889 |
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| Fax Number : | 773-465-7615 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1417966789 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Aug, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sudha V. Shah are as mentioned. Primary taxonomy code for Sudha V. Shah, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 036060895 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Sudha V. Shah such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 036060895 | MEDICAID | IL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1516 W Devon Ave
Chicago, IL, 60660-1314
United States |
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| Phone Number : | 773-465-7889 |
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| Fax Number : | 773-465-7615 |
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Business Location:
Patients can refer following map for directions to
Sudha V. Shah practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.