Shah, Hemant B
Shah, Hemant B is an individual health care provider with primary practice located at 1420 Renaissance Drive Ste 307, Park Ridge IL 60068-1343. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Shah, Hemant B can be contacted via phone (847) 803-1000.Contact Information
Primary practice address
1420 Renaissance Drive Ste 307
Park Ridge IL 60068-1343
Phone: (847) 803-1000
Fax: (847) 803-1098
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 48369020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 35-092637 | Ohio |
Profile Details
| NPI number | 1861671844 |
|---|---|
| LBN Legal business name | Shah, Hemant B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2007 |
| Last updated | Dec 17th, 2021 - 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 | 1861671844 | NPPES |
| Ohio | Other | P00729457 | RAILROAD MEDICARE |
| Ohio | MEDICAID | 2943739 | RAILROAD MEDICARE |
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