Ayush N Shah, DO
Hospitalist in Evanston, IL. Individual provider (NPI-1).
NPI number1669967683
StatusActive
Last updated in NPPESMay 20, 2021
Details
- NPI
- 1669967683
- Entity type
- Individual (NPI-1)
- Name
- Ayush N Shah
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2018
- Certification date
- May 4, 2021
- Last updated
- May 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 036154823 | IL | Yes |
| 207R00000X | Internal Medicine | 125.072720 | IL | |
| 207R00000X | Internal Medicine | 036.154823 | IL |
Practice location
2650 Ridge Ave.Im Hospitalists Ste 4210
Evanston, IL 60201-1700
Phone 847-570-1010 · Fax 847-733-5108
Mailing address
2650 Ridge Ave.Im Hospitalists Ste 4210
Evanston, IL 60201-1700
Phone 847-570-1010 · Fax 847-733-5108
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