Upendra C. Shah Mdsc

LBN: Upendra C. Shah Mdsc
Upendra C. Shah Mdsc is an health care organization with primary practice located at 7447 W Talcott Ave Suite # 444, Chicago IL 60631-3745. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as the primary health care specialty. Upendra C. Shah Mdsc can be contacted via phone (773) 631-8474, or through Shah, Upendra C. via phone (773) 631-8474.

Contact Information

Primary practice address
7447 W Talcott Ave Suite # 444 Chicago IL 60631-3745
Fax: (773) 631-4180
Website:
Authorized official contact:
Name: Shah, Upendra C. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 036057815

Profile Details

NPI number 1043419328
LBN Legal business name Upendra C. Shah Mdsc
DBA Doing business as
Authorized official Shah, Upendra C. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2007
Last updated Aug 5th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043419328 NPPES
Illinois Other 0031620707 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 036057815 BLUE CROSS BLUE SHIELD
Illinois Other 0031600707 BLUE CROSS BLUE SHIELD

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