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Individual
RUSHABH SHAH
Active
Individual
RUSHABH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02006504A
IN
207Q00000X
Family Medicine Physician
036154190
IL
208M00000X
Hospitalist Physician
02006504A
IN
208M00000X
Hospitalist Physician
Primary
036154190
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036154190
STATE LICENSE
IL
Enumeration date
03/26/2018
Last updated
07/10/2023
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