Individual
DR. PULIN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 355-3863
Mailing address
6021 N IMPERIAL DR, #138, PEORIA, IL 61614-3908
(217) 240-6092
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
AS3581875-320
IL
208000000X
Pediatrics Physician
Primary
AS3581875-320
IL
Other
Enumeration date
07/06/2007
Last updated
09/11/2025
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