Individual provider · Type 1 NPI

Yogendra Ambalal Shah, MD, S.C.

Specialist · Granite City, IL

NPI number 1376667253 Active

Practice location

3165 Myrtle Ave
Granite City, IL 62040-5012

Call (618) 451-7717 Map

Fax (618) 451-7780

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X036048989 (IL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

9 other providers at this address

About NPI 1376667253

Yogendra Ambalal Shah, MD, S.C.'s National Provider Identifier is 1376667253, issued on Mar 18, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Granite City, IL. The record was last updated on Jul 8, 2007.