Individual
HEMANT SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
403 E 1ST ST, DIXON, IL 61021
(815) 285-5638
Mailing address
8133 CEDAR DR, WOODRIDGE, IL 60517-4647
(717) 450-8252
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036138507
IL
2084P0800X
Psychiatry Physician
MT185142
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036138507
—
IL
01
—
F400347774
MEDICARE
IL
Enumeration date
04/20/2007
Last updated
08/23/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us