Individual
URAV SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 N 9TH ST FL 2, SPRINGFIELD, IL 62702-5310
(217) 545-8000
Mailing address
201 E MADISON ST STE 328, SPRINGFIELD, IL 62702-5131
(217) 545-8000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036.164638
IL
2080P0202X
Pediatric Cardiology Physician
Primary
036.164638
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/25/2017
Last updated
05/09/2023
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