Dr. Nishith Shah, M.D.
Family Medicine in Rockford, IL. Individual provider (NPI-1).
NPI number1902255656
StatusActive
Last updated in NPPESSep 13, 2024
Details
- NPI
- 1902255656
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nishith Shah
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 3, 2016
- Certification date
- Sep 9, 2024
- Last updated
- Sep 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036.150303 | IL | Yes |
Practice location
3401 N Perryville RdRockford, IL 61114-8011
Phone 815-971-3610
Mailing address
820 Rte 59 Ste ABartlett, IL 60103-1300
Phone 630-483-5930 · Fax 630-483-5939
Other practice locations
820 Rte 59 Ste A
Bartlett, IL 60103-1300
Bartlett, IL 60103-1300
Phone 630-483-5930 · Fax 630-483-5939
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