Individual provider · Type 1 NPI
Pankaj S. Shah, MD
Specialist · Fairview Heights, IL
NPI number
1629024815
Active
Practice location
10035 Lincoln Trl
Fairview Heights, IL 62208-1847
Fax (618) 397-7735
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
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.
2 other providers at this address
Other specialist providers in Fairview Heights
About NPI 1629024815
Pankaj S. Shah, MD's National Provider Identifier is 1629024815, issued on May 26, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fairview Heights, IL. The record was last updated on Oct 9, 2007.