Individual
DR. VIJAY J SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1320 N HIGHLAND AVE, SUITE A, AURORA, IL 60506-1403
(630) 896-0659
(630) 896-0581
Mailing address
1320 N HIGHLAND AVE STE B, AURORA, IL 60506-1469
(630) 892-4286
(630) 892-2104
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036074019
IL
207RI0011X
Interventional Cardiology Physician
Primary
036074019
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036074019
—
IL
01
—
060069376
RAILROAD MEDICARE
IL
Enumeration date
06/08/2006
Last updated
07/21/2020
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