Individual
DR. ANAND P SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
430 WARRENVILLE RD, LISLE, IL 60532-1348
(630) 432-6745
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
036121489
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036121489
—
IL
Enumeration date
08/01/2008
Last updated
08/31/2023
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