SAMIR SHAH M.D.S.C NPI 1447273859

NPI Information

NPI: 1447273859
Provider Name: SAMIR SHAH M.D.S.C

Other Name: SPESCTRUM CARDIOVASCULAR DIAGNOSTICS

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
3560 W 95TH ST
EVERGREEN PARK, IL
ZIP 60805
Phone: (708) 425-7660
Get Directions

SAMIR SHAH M.D.S.C is a cardiovascular disease internal medicine in Evergreen Park, IL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. SAMIR SHAH M.D.S.C NPI is 1447273859. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Spesctrum Cardiovascular Diagnostics.

The provider's business location address is:

3560 W 95TH ST
EVERGREEN PARK, IL
ZIP 60805-107
Phone: (708) 425-7660

The provider's authorized official is Samir K Shah .
The authorized official title is President and has the following contact phone number (708) 425-7660.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 2/12/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RA0000X	Internal Medicine	Adolescent Medicine	036-063403	ILLINOIS	No
2	207RG0300X	Internal Medicine	Geriatric Medicine	036-063403	ILLINOIS	No
3	207RC0000X	Internal Medicine	Cardiovascular Disease	036-063403	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	213284	MEDICARE PIN	ILLINOIS
2	036063403	MEDICAID	ILLINOIS
3	E21595	MEDICARE UPIN	ILLINOIS
4	01636052	OTHER	ILLINOIS	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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