# HANIT U SHAH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366963332
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 036157704 | IL | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | 036157704 | IL | — |

## Other

- **Enumeration date:** 06/29/2017
- **Last updated:** 03/05/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 125.071495 | LICENSE | — |