Individual
GHANSHYAM M SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5999 NEW WILKE RD, SUITE 200 BLDG 2, ROLLING MEADOWS, IL 60008-4506
(847) 255-7107
(847) 255-7031
Mailing address
5999 NEW WILKE RD STE 200, ROLLING MEADOWS, IL 60008-4502
(847) 255-7107
(847) 255-7031
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036096146
IL
Other
Enumeration date
05/30/2006
Last updated
06/16/2022
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