Shah-Khan, Miraj G

Shah-Khan, Miraj G is an individual health care provider with primary practice located at 15300 West Ave , Orland Park IL 60462-4600. She 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 her primary health care specialty. Shah-Khan, Miraj G can be contacted via phone (708) 590-5520.

Contact Information

Primary practice address
15300 West Ave Orland Park IL 60462-4600
Phone: (708) 590-5520
Fax: (708) 590-5524
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036-121447 Illinois
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 036121447 Illinois

Profile Details

NPI number 1407007958
LBN Legal business name Shah-Khan, Miraj G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2008
Last updated Jun 2nd, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407007958 NPPES
Illinois MEDICAID 36121447

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