Individual
DR. ADIT SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8 DOCTORS PARK RD, MOUNT VERNON, IL 62864-6224
(618) 244-5500
Mailing address
1441 EASTLAKE AVE STE 7416, LOS ANGELES, CA 90089-0112
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036.153636
IL
Other
Enumeration date
09/07/2017
Last updated
08/14/2020
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