Shah, Kavita
Shah, Kavita is an individual health care provider with primary practice located at 111 N County Farm Rd , Wheaton IL 60187-3977. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Shah, Kavita can be contacted via phone (630) 682-7400.Contact Information
Primary practice address
111 N County Farm Rd
Wheaton IL 60187-3977
Phone: (630) 682-7400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 036-099281 | Illinois |
Profile Details
| NPI number | 1568509008 |
|---|---|
| LBN Legal business name | Shah, Kavita |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Oct 7th, 2021 - about 4 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 | 1568509008 | NPPES |
| Illinois | MEDICAID | 100273730 |
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