Individual
ROSHNI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2520 ELISHA AVENUE, ZION, IL 60099
(800) 322-9183
Mailing address
2361 PAYSPHERE CIRCLE, CHICAGO, IL 60067
(800) 322-9183
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
085-006840
IL
363A00000X
Physician Assistant
Primary
085.006840
IL
363A00000X
Physician Assistant
PA8246
MA
Other
Enumeration date
11/29/2018
Last updated
04/11/2025
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