Individual
DR. PANKAJ S SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10035 LINCOLN TRL, FAIRVIEW HEIGHTS, IL 62208-1847
(618) 397-7700
(618) 397-7735
Mailing address
10035 LINCOLN TRL, FAIRVIEW HEIGHTS, IL 62208-1847
(618) 397-7700
(618) 397-7735
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
05/26/2006
Last updated
10/09/2007
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