Individual
ATUL SHAH
Active
Individual
ATUL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036-084332
IL
207RI0011X
Interventional Cardiology Physician
036084332
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360843321
—
IL
01
—
060009694
RR MEDICARE
—
01
—
093363
HEALTH ALLIANCE
—
01
—
12487
ESSENCE
—
01
—
141631
UHC
—
01
—
189282
HEALTHLINK
—
01
—
235177
WELLCARE
—
01
—
2507202
SECURE HORIZONS
—
01
—
28281
BCBS MO
MO
01
—
37099690005
GHP
—
01
—
42767
CMR
—
01
—
E57736
MERCY
—
Enumeration date
06/28/2006
Last updated
12/30/2021
Update your record
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