Shah, Manoj

Shah, Manoj is an individual health care provider with primary practice located at 1875 Dempster St Suite 280, Park Ridge IL 60068-1186. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Shah, Manoj can be contacted via phone (847) 318-9071.

Contact Information

Primary practice address
1875 Dempster St Suite 280 Park Ridge IL 60068-1186
Phone: (847) 318-9071
Fax: (847) 318-2535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 036068794 Illinois
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 036068794 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 036068794 Illinois

Profile Details

NPI number 1003920547
LBN Legal business name Shah, Manoj
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Dec 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003920547 NPPES
Illinois MEDICAID 036068794

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