Individual
MIR JAFAR SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
IL
2085R0001X
Radiation Oncology Physician
Primary
036-048869
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036048869
—
IL
01
—
F400308371
MEDICARE INDIVIDUAL PTAN FOR SPECIALTY PHYSICIANS
—
Enumeration date
05/30/2006
Last updated
09/24/2025
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