Organization
UPENDRA C. SHAH MDSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UPENDRA C. SHAH M.D. (PRESIDENT)
(773) 631-8474
Entity
Organization
Contact information
Practice address
7447 W TALCOTT AVE, SUITE # 444, CHICAGO, IL 60631-3745
(773) 631-8474
(773) 631-4180
Mailing address
7447 W TALCOTT AVE, SUITE # 444, CHICAGO, IL 60631-3745
(773) 631-8474
(773) 631-4180
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
036057815
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031600707
BLUE CROSS BLUE SHIELD
IL
01
—
0031620707
BLUE CROSS BLUE SHIELD
IL
05
—
036057815
—
IL
Enumeration date
07/16/2007
Last updated
08/05/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us