Shah, Avani Vinod
Shah, Avani Vinod is an individual health care provider with primary practice located at 630 N State St Apt 1502 , Chicago IL 60654. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as her primary health care specialty. Shah, Avani Vinod can be contacted via phone (847) 858-3448.Contact Information
Primary practice address
630 N State St Apt 1502
Chicago IL 60654
Phone: (847) 858-3448
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 01075707 | Indiana |
Profile Details
| NPI number | 1790913036 |
|---|---|
| LBN Legal business name | Shah, Avani Vinod |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2009 |
| Last updated | Jul 25th, 2018 - about 6 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 | 1790913036 | NPPES |
| Indiana | MEDICAID | 201315270 |
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