Spesctrum Cardiovascular Diagnostics
LBN: Samir Shah M.D.S.C
Spesctrum Cardiovascular Diagnostics is an health care organization with primary practice located at 3560 W 95Th St , Evergreen Park IL 60805-2107. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty.
Samir Shah M.D.S.C can be contacted via phone (708) 425-7660, or through Shah, Samir K via phone (708) 425-7660.
Contact Information
Primary practice address
3560 W 95Th St
Evergreen Park IL 60805-2107
Phone: (708) 425-7660
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 207RA0000X | 036-063403 | Illinois |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036-063403 | Illinois |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 036-063403 | Illinois |
Profile Details
| NPI number | 1447273859 |
|---|---|
| LBN Legal business name | Samir Shah M.D.S.C |
| DBA Doing business as | Spesctrum Cardiovascular Diagnostics |
| Authorized official | Shah, Samir K Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Feb 12th, 2014 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447273859 | NPPES |
| Illinois | Other | 01636052 | BCBS |
| Illinois | MEDICAID | 036063403 | BCBS |
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