Shah, Nirmala A.

Shah, Nirmala A. is an sole proprietor health care provider with primary practice located at 6374 N Lincoln Ave Ste 311 , Chicago IL 60659-1283. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Shah, Nirmala A. can be contacted via phone (773) 539-5100.

Contact Information

Primary practice address
6374 N Lincoln Ave Ste 311 Chicago IL 60659-1283
Phone: (773) 539-5100
Fax: (773) 539-7508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036058416 Illinois

Profile Details

NPI number 1215930128
LBN Legal business name Shah, Nirmala A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2005
Last updated Jun 5th, 2009 - about 16 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 1215930128 NPPES
Illinois MEDICAID 036058416

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