Jitendra J Shah in Peoria - Pediatric Cardiology
Jitendra J Shah - NPI 1619061827
Jitendra J Shah is a Pediatric Cardiology in Peoria, Illinois. Jitendra J Shah practices all healthcare services and medical treatments related to Pediatric Cardiology. The NPI Number for Jitendra J Shah is 1619061827. The last update date is 2012-08-28.
Jitendra J Shah's current location address is 420 Ne Glen Oak Ave, Peoria, Illinois. You can contact this provider via phone number 3096553453 and fax number 3096552938. The mailing address for Jitendra J Shah is 420 Ne Glen Oak Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jitendra J Shah |
|---|---|
| Address | 420 Ne Glen Oak Ave, Peoria, Illinois |
| Phone Number | 3096553453 |
| Fax Number | 3096552938 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1619061827 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2012-08-28 |
Provider Mailing Address Detail
| Address | 420 Ne Glen Oak Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616033105 |
| Phone Number | 3096553453 |
| Fax Number | 3096552938 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Cardiology |
|---|---|
| Taxonomy | 2080P0202X |
| Licence No | 036-053972 |
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Definition: A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinica |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36053972 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jitendra J Shah?
The Jitendra J Shah has been issued the NPI (National Provider Identifier) 1619061827 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Jitendra J Shah is physically located?
The Jitendra J Shah is physically situated at the following address: 420 Ne Glen Oak Ave, Peoria, IL, 616033105.
What is Jitendra J Shah's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jitendra J Shah is Pediatric Cardiology, and the taxonomy code that categorizes this field of expertise is 2080P0202X.
On what date did the Jitendra J Shah receive its 1619061827 assignment from the Centers for Medicare & Medicaid Services?
The Jitendra J Shah was assigned its 1619061827 by the Centers for Medicare & Medicaid Services on 2006-10-03.
When was the Jitendra J Shah's information last updated?
The Jitendra J Shah's information was last updated on 2012-08-28.