Shah, Bhavin Chandrakant

Shah, Bhavin Chandrakant is an individual health care provider with primary practice located at 301 Madison St Ste 302 , Joliet IL 60435-6995. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Shah, Bhavin Chandrakant can be contacted via phone (815) 582-3177.

Contact Information

Primary practice address
301 Madison St Ste 302 Joliet IL 60435-6995
Phone: (815) 582-3177
Fax: (815) 582-3754
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036.138823 Illinois
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 036.138823 Illinois

Profile Details

NPI number 1306078910
LBN Legal business name Shah, Bhavin Chandrakant
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2009
Last updated Jun 26th, 2017 - 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 1306078910 NPPES
Illinois MEDICAID 036138823
Illinois Other F400259208

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