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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790913036 NPPES
Indiana MEDICAID 201315270

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