Shah, Pushpa

Shah, Pushpa is an individual health care provider with primary practice located at 2701 W 68Th St , Chicago IL 60629-1813. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Shah, Pushpa can be contacted via phone (773) 284-0904.

Contact Information

Primary practice address
2701 W 68Th St Chicago IL 60629-1813
Phone: (773) 284-0904
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 036055693 Illinois

Profile Details

NPI number 1851342927
LBN Legal business name Shah, Pushpa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Jul 12th, 2007 - about 17 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 1851342927 NPPES
Illinois MEDICAID 0360556932

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