Individual
DR. PRAKRITI SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5666 E STATE ST, ROCKFORD, IL 61108-2425
(815) 226-2000
Mailing address
5666 E STATE ST, ROCKFORD, IL 61108-2425
(815) 226-2000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036122183
IL
207P00000X
Emergency Medicine Physician
242674
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0141313
—
NJ
Enumeration date
08/06/2007
Last updated
04/20/2026
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