Doctor Name: | DR. NEEL SHAH |
NPI Number: | 1245274786 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 12935 Gregory St Blue Island, IL - 604062428 |
Business Phone Number: | 7085972000 |
Business Fax Number: | |
Mailing Address: | 3300 127th St, 2nd Floor BLUE ISLAND |
State: | IL |
Postal Code: | 604063802 |
Phone Number: | 7083880423 |
Fax Number: | 7083881477 |
NPI Enumeration Date: | 06/15/2006 |
NPI Last Update Date: | 10/18/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |