DR. Pankaj S Shah, M.D.

NPI #1629024815 in Fairview Heights, Illinois

Provider Information

NPI Number: 1629024815
Entity Type: Individual
Name: DR. Pankaj S Shah, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: May 26, 2006
Last Updated: Oct 9, 2007

Practice Location

Address: 10035 LINCOLN TRL
City: Fairview Heights
State: Illinois
ZIP Code: 62208-1847
Phone: (618) 397-7700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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