Individual
DR. RAVI DIPAK SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 S PAULINA ST STE 527, CHICAGO, IL 60612-3806
(312) 942-8375
Mailing address
300 W GRAND AVE APT 406, CHICAGO, IL 60654-7889
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036121144
IL
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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