Individual
DR. NIRAV SURENDRA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1447
(773) 702-9179
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125054543
IL
207RI0200X
Infectious Disease Physician
Primary
036127306
IL
Other
Enumeration date
07/04/2008
Last updated
02/19/2021
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