Individual
PAYAL KIRTIKANT SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2800 N LAKE SHORE DR, ST JOSPEH HOSPITAL, CHICAGO, IL 60657-6232
(773) 665-5041
Mailing address
425 W SURF ST, UNIT 114, CHICAGO, IL 60657-6450
(302) 682-5467
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125057424
IL
207RI0200X
Infectious Disease Physician
Primary
A124454
CA
Other
Enumeration date
10/04/2010
Last updated
11/29/2018
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