Individual provider · Type 1 NPI

Jitendra J. Shah, MD

Pediatric Cardiology Physician · Peoria, IL

NPI number 1619061827 Active

Practice location

420 NE Glen Oak Ave, Suite 304
Peoria, IL 61603-3105

Call (309) 655-3453 Map

Fax (309) 655-2938

Specialties and licenses

TaxonomyCodeLicense
Pediatric Cardiology Physician Primary 2080P0202X036-053972 (IL)

Pediatric Cardiology Physician: A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

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About NPI 1619061827

Jitendra J. Shah, MD's National Provider Identifier is 1619061827, issued on Oct 3, 2006. The primary taxonomy on file is Pediatric Cardiology Physician (2080P0202X), and the practice location is in Peoria, IL. The record was last updated on Aug 28, 2012.