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Individual

DR. MARMY J SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2160 S 1ST AVE RM 167, BUILDING 54, MAYWOOD, IL 60153-3328
(708) 216-9230
Mailing address
2160 S 1ST AVE RM 167, BUILDING 54, MAYWOOD, IL 60153-3328
(708) 216-9230

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036127099
IL
207R00000X
Internal Medicine Physician
MT193705
PA
207RG0100X
Gastroenterology Physician
Primary
036127099
IL

Other

Enumeration date
06/23/2008
Last updated
02/01/2016
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