Individual
SAYED SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35468
IA
208M00000X
Hospitalist Physician
35468
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110953
—
IL
05
—
0568998
—
IA
01
—
101982
HEALTH ALLIANCE
—
01
—
318499
COVENTRY
—
05
—
421060724003
—
IL
01
—
421060724A6
JOHN DEERE IN RI COUNTY
IL
01
—
8122859
IL BC/BS
IL
01
—
95184
IA BC/BS SEEN IN MOLINE
IL
01
—
95185
IA BC/BS SEEN IN RI
IA
01
—
99622
WELLMARK
—
01
—
IL01A6
JOHN DEERE EDI# RI COUNTY
IL
01
—
P00452391
RR MEDICARE
IL
Enumeration date
09/23/2005
Last updated
03/04/2014
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