Neilesh Shah in Hazel Crest - Family Medicine

Neilesh Shah - NPI 1023007143

Neilesh Shah is a Family Medicine in Hazel Crest, Illinois. Neilesh Shah practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Neilesh Shah is 1023007143. The last update date is 2021-12-20.

Neilesh Shah's current location address is 17850 Kedzie Ave, Hazel Crest, Illinois. You can contact this provider via phone number 7087988112 and fax number 7087989016. The mailing address for Neilesh Shah is 17850 Kedzie Ave, Hazel Crest, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Neilesh Shah
Address 17850 Kedzie Ave, Hazel Crest, Illinois
Phone Number 7087988112
Fax Number 7087989016
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1023007143
Provider Enumeration Date 2005-10-20
Last Updated Date 2021-12-20

Provider Mailing Address Detail

Address 17850 Kedzie Ave
City Hazel Crest
State Illinois (IL)
Post Code 604292058
Phone Number 7087988112
Fax Number 7087989016

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 36113251
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36113251 IL --

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FAQs about Neilesh Shah

What is the unique 10-digit identifier code assigned to Neilesh Shah by the Centers for Medicare & Medicaid Services?

The Neilesh Shah has been issued the NPI (National Provider Identifier) 1023007143 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Neilesh Shah's facilities are situated?

The facilities of Neilesh Shah are physically located at the following address: 17850 Kedzie Ave, Hazel Crest, IL, 604292058.

What is Neilesh Shah's area of expertise and its corresponding taxonomy classification?

The Neilesh Shah's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Neilesh Shah receive its 1023007143 assignment from the Centers for Medicare & Medicaid Services?

The Neilesh Shah was assigned its 1023007143 by the Centers for Medicare & Medicaid Services on 2005-10-20.

As of what date was the information pertaining to Neilesh Shah, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Neilesh Shah, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-12-20.

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