# UPENDRA C. SHAH MDSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043419328
- **Authorized official:** DR. UPENDRA C. SHAH M.D. (PRESIDENT)
- **Authorized official phone:** (773) 631-8474

## Contact information

- **Practice address:** 7447 W TALCOTT AVE, SUITE \# 444, CHICAGO, IL 60631-3745
- **Practice address phone:** (773) 631-8474
- **Practice address fax:** (773) 631-4180
- **Mailing address:** 7447 W TALCOTT AVE, SUITE \# 444, CHICAGO, IL 60631-3745
- **Mailing address phone:** (773) 631-8474
- **Mailing address fax:** (773) 631-4180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 036057815 | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 036057815 | — | Yes |

## Other

- **Enumeration date:** 07/16/2007
- **Last updated:** 08/05/2016