Individual
MR. MANAN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-8174
(404) 752-1088
Mailing address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-8174
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
036.172589
IL
Other
Enumeration date
06/04/2019
Last updated
06/27/2025
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