Overview
Name: HARENDRA P. SHAH PA-C
Specialty: Medical Physician Assistant
Type of Practice: Individual provider
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Physician Assistants & Advanced Practice Nursing Providers
Classification: Physician Assistant
Specialization: Medical.
Definition of Specialty: Definition to come…
License & NPI
License #(s): 085-001700, , , ,
License State(s): IL, , , ,
Addresses
Practice Location: 2744 W DEVON AVE,PRISM MEDICAL CENTER,CHICAGO,IL,606591711,US
Mailing Address: 2744 W DEVON AVE,PRISM MEDICAL CENTER,CHICAGO,IL,606591711,US
Contact #
Practice location phone #: 7732621300
Practice location fax #: 7732621184
Mailing address Phone #: 7732621300
Mailing Address fax #: 7732621184
Authorized official Name/Telephone #:
Misc
Date NPI was obtained: 08/02/2005
Last data data was updated: 02/19/2011
Insurances: