Individual provider · Type 1 NPI
Harendra P. Shah, PA-C
Medical Physician Assistant · Chicago, IL
NPI number
1306847207
Active
Practice location
6349, N Fairfield Avenue, Prism Medical Center
Chicago, IL 60659-1705
Fax (773) 262-1184
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 085-001700 (IL) |
Medical Physician Assistant: Definition to come...
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About NPI 1306847207
Harendra P. Shah, PA-C's National Provider Identifier is 1306847207, issued on Aug 2, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Chicago, IL. The record was last updated on Oct 25, 2024.