Individual
DR. MIRAJ G SHAH-KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15300 WEST AVE, ORLAND PARK, IL 60462-4600
(708) 590-5520
(708) 590-5524
Mailing address
15300 WEST AVE STE 122, ORLAND PARK, IL 60462-4508
(708) 590-5520
(708) 590-5524
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036-121447
IL
2086X0206X
Surgical Oncology Physician
Primary
036121447
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36121447
—
IL
Enumeration date
10/02/2008
Last updated
11/13/2025
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