Shah, Ashish Rajesh
Shah, Ashish Rajesh is an individual health care provider with primary practice located at 1615 N Convent St Ste 1 , Bourbonnais IL 60914-1081. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Shah, Ashish Rajesh can be contacted via phone (815) 937-5200.Contact Information
Primary practice address
1615 N Convent St Ste 1
Bourbonnais IL 60914-1081
Phone: (815) 937-5200
Fax: (815) 937-2063
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 036-136852 | Illinois |
Profile Details
| NPI number | 1780847384 |
|---|---|
| LBN Legal business name | Shah, Ashish Rajesh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2008 |
| Last updated | May 19th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780847384 | NPPES |
| Illinois | MEDICAID | 036136852 |
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