DR. Prakriti Shah, D.O.

NPI #1578754354 in Rockford, Illinois

Provider Information

NPI Number: 1578754354
Entity Type: Individual
Name: DR. Prakriti Shah, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Emergency Medicine
Credential: D.O.
Enumeration Date: Aug 6, 2007
Last Updated: Aug 22, 2014

Practice Location

Address: 5666 E STATE ST
City: Rockford
State: Illinois
ZIP Code: 61108-2425
Phone: (815) 226-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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