Sudha P Shah in Rockford - Obstetrics & Gynecology

Sudha P Shah - NPI 1497753511

Sudha P Shah is a Obstetrics & Gynecology in Rockford, Illinois. Sudha P Shah practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Sudha P Shah is 1497753511. The last update date is 2015-07-01.

Sudha P Shah's current location address is 6861 Villagreen Vw, Rockford, Illinois. You can contact this provider via phone number 8156376200. The mailing address for Sudha P Shah is 6861 Villagreen Vw, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Sudha P Shah
Address 6861 Villagreen Vw, Rockford, Illinois
Phone Number 8156376200
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1497753511
Provider Enumeration Date 2005-07-12
Last Updated Date 2015-07-01

Provider Mailing Address Detail

Address 6861 Villagreen Vw
City Rockford
State Illinois (IL)
Post Code 6110756390
Phone Number 8156376200
Fax Number

Provider's Primary Taxonomy Detail

Speciality Obstetrics & Gynecology
Taxonomy 207V00000X
Licence No 036-069064
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
36069064 IL --
31792700 WI WISCONSIN MEDICAID

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FAQs about Sudha P Shah

What is the unique 10-digit identification code issued to Sudha P Shah by the Centers for Medicare & Medicaid Services?

The Sudha P Shah has been assigned the NPI (National Provider Identifier) 1497753511 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Sudha P Shah is physically located?

The Sudha P Shah is physically situated at the following address: 6861 Villagreen Vw, Rockford, IL, 6110756390.

What is Sudha P 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 Sudha P 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 originally issue the 1497753511 to Sudha P Shah?

The Centers for Medicare & Medicaid Services originally issued the 1497753511 to Sudha P Shah on 2005-07-12.

When was the information regarding Sudha P Shah most recently updated?

The details pertaining to the Sudha P Shah, including its address, specialty, and other relevant information, were last refreshed on 2015-07-01.

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