Individual
DR. AMAR PRAVIN SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1725 W HARRISON ST STE 461, CHICAGO, IL 60612-3866
(312) 942-5781
Mailing address
1725 W HARRISON ST STE 461, CHICAGO, IL 60612-3866
(312) 942-5781
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
AP388152871373
IL
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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