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Individual

DR. KHUSHBU SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, MPH

Contact information

Practice address
225 E CHICAGO AVE # 10, CHICAGO, IL 60611-2991
(312) 227-6650
(312) 227-9659
Mailing address
225 E CHICAGO AVE # 10, CHICAGO, IL 60611-2991
(312) 227-6650
(312) 227-9659

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036157429
IL
2084P0800X
Psychiatry Physician
66613-20
WI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/08/2015
Last updated
02/25/2022
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