Individual
DR. BHAVIN CHANDRAKANT SHAH
Active
Individual
DR. BHAVIN CHANDRAKANT SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036.138823
IL
2086X0206X
Surgical Oncology Physician
Primary
036.138823
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036138823
—
IL
01
—
F400259208
MEDICARE PTAN
IL
Enumeration date
08/14/2009
Last updated
06/26/2017
Update your record
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