Smita J Shah is a Internal Medicine in Berwyn, Illinois. Smita J Shah practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Smita J Shah is 1063587640. The last update date is 2012-07-09.
Smita J Shah's current location address is 6905 Cermak Rd Ste A, Berwyn, Illinois. You can contact this provider via phone number 7087490091. The mailing address for Smita J Shah is 6905 Cermak Rd Ste A, Berwyn, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Smita J Shah |
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Address | 6905 Cermak Rd Ste A, Berwyn, Illinois |
Phone Number | 7087490091 |
Fax Number | |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1063587640 |
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Provider Enumeration Date | 2006-11-21 |
Last Updated Date | 2012-07-09 |
Provider Mailing Address Detail
Address | 6905 Cermak Rd Ste A |
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City | Berwyn |
State | Illinois (IL) |
Post Code | 604022175 |
Phone Number | 7087490091 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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Taxonomy | 207R00000X |
Licence No | 36060462 |
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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36060462 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Smita J Shah?
The Smita J Shah has been issued the NPI (National Provider Identifier) 1063587640 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Smita J Shah's physical address?
The Smita J Shah is physically located at 6905 Cermak Rd Ste A, in the city of Berwyn, IL, with the postal code 604022175.
What is Smita J Shah's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Smita J Shah is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1063587640 to Smita J Shah?
The Smita J Shah received its 1063587640 assignment from the Centers for Medicare & Medicaid Services on 2006-11-21.
When was the information pertaining to Smita J Shah most recently updated or revised?
The details related to Smita J Shah, including its address, specialty, and other relevant information, were last updated or revised on 2012-07-09.