Kumudchandra S Shah in Hazel Crest - Obstetrics & Gynecology

Kumudchandra S Shah - NPI 1891862959

Kumudchandra S Shah is a Obstetrics & Gynecology in Hazel Crest, Illinois. Kumudchandra S Shah practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Kumudchandra S Shah is 1891862959. The last update date is 2012-01-24.

Kumudchandra S Shah's current location address is 17680 S Kedzie Ave, Hazel Crest, Illinois. You can contact this provider via phone number 7087995420 and fax number 7087994093. The mailing address for Kumudchandra S Shah is 17680 S Kedzie Ave, Hazel Crest, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Kumudchandra S Shah
Address 17680 S Kedzie Ave, Hazel Crest, Illinois
Phone Number 7087995420
Fax Number 7087994093
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1891862959
Provider Enumeration Date 2006-11-30
Last Updated Date 2012-01-24

Provider Mailing Address Detail

Address 17680 S Kedzie Ave
City Hazel Crest
State Illinois (IL)
Post Code 604292043
Phone Number 7087995420
Fax Number 7087994093

Provider's Primary Taxonomy Detail

Speciality Obstetrics & Gynecology
Taxonomy 207V00000X
Licence No 36048096
Definition:
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36048096 IL --
21605584 IL BLUE CROSS BLUE SHIELD

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FAQs about Kumudchandra S Shah

What is the Kumudchandra S Shah's 1891862959?

The Kumudchandra S Shah's NPI (National Provider Identifier) Number is 1891862959. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Kumudchandra S Shah is geographically located?

The Kumudchandra S Shah is physically situated at the following location: 17680 S Kedzie Ave, Hazel Crest, IL, 604292043.

What is Kumudchandra S Shah's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kumudchandra S Shah is Obstetrics & Gynecology, and the taxonomy classification code that categorizes this area of expertise is 207V00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1891862959 to Kumudchandra S Shah?

The Centers for Medicare & Medicaid Services assigned the 1891862959 to Kumudchandra S Shah on 2006-11-30.

When was the information regarding Kumudchandra S Shah, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kumudchandra S Shah, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-01-24.

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