Individual
DR. SAMAR PRAKASH SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-3055
(312) 926-2000
Mailing address
251 E HURON ST STE 5-704, CHICAGO, IL 60611-2908
(312) 926-2280
(312) 926-2762
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036158863
IL
207L00000X
Anesthesiology Physician
125.072964
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2017
Last updated
02/02/2022
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