Individual provider · Type 1 NPI

Prabodh C. Shah, MD

Hematology & Oncology Physician · Evergreen Park, IL

NPI number 1316935240 Active

Practice location

2800 W 95th St, Cancer Center
Evergreen Park, IL 60805-2701

Call (708) 229-6020 Map

Fax (708) 229-6083

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003X036042091 (IL)
Hematology & Oncology Physician 207RH0003XA25747 (CA)

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1316935240

Prabodh C. Shah, MD's National Provider Identifier is 1316935240, issued on Oct 13, 2005. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Evergreen Park, IL. The record was last updated on Jun 23, 2014.