DR. Ansuya Shah, M.D

NPI #1902133937 in River Forest, Illinois

Provider Information

NPI Number
1902133937
Entity Type
Individual
Name
DR. Ansuya Shah, M.D
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Clinic/Center - Primary Care
Credential
M.D
Enumeration Date
Nov 12, 2009
Last Updated
Nov 12, 2009

Practice Location

Address
1146 PARK AVE
ZIP Code
60305-1310
Phone
(708) 366-2707

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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