Individual
HEMANT B SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1420 RENAISSANCE DRIVE, STE 307, PARK RIDGE, IL 60068-1343
(847) 803-1000
(847) 803-1098
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036.131753
IL
2085R0202X
Diagnostic Radiology Physician
Primary
35-092637
OH
390200000X
Student in an Organized Health Care Education/Training Program
48369020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2943739
—
OH
01
—
P00729457
RAILROAD MEDICARE
OH
Enumeration date
10/26/2007
Last updated
03/06/2026
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