Individual
DR. BHAVIK DEEPAK SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4440 W 95TH ST, ADVOCATE CHRIST MEDICAL CENTER, OAK LAWN, IL 60453-2600
(312) 609-0300
Mailing address
4440 W 95TH ST, ADVOCATE CHRIST MEDICAL CENTER, OAK LAWN, IL 60453-2600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.135172
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2011
Last updated
12/20/2021
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