SUDHA V. SHAH


Address: 1516 W Devon Ave, Chicago, IL 60660-1314
Phone: 7734657889

SUDHA V. SHAH (NPI# 1417966789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417966789
Entity Type Individual
Full Name SUDHA V. SHAH
Credential M.D.
Practice Address 1516 W Devon Ave
Chicago
IL 60660-1314
Practice Telephone 7734657889
Practice Fax Number 7734657615
Mailing Telephone 7734657889
Mailing Fax Number 7734657615
Enumeration Date 2006-08-05
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
036060895 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036060895 05

Other Providers SUDHA SHAH

NPI Name Taxonomy Address Enumeration
1205924974 Sudha R Shah Family Medicine 3860 Kings Hwy, Brooklyn, NY 11234-2907 2006-10-10
1174628978 Sudha B Shah Anesthesiology 3460 Pioneer Pkwy, West Valley City, UT 84120-2049 2006-09-14
1821010844 Sudha Shah General Practice 4500 College Ave, Alton, IL 62002-5051 2006-07-25
1144257213 Sudha Satish Shah Anesthesiology 65 Jimmie Leeds Road, Pomona, NJ 08240 2006-06-26
1497753511 Sudha P Shah Obstetrics & Gynecology 6861 Villagreen Vw, Rockford, IL 61107-5639 2005-07-12

Office Location

Street Address 1516 W DEVON AVE
City CHICAGO
State IL
Zip Code 60660-1314

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447530639 Nalini Ahluwalia, Md Sc Internal Medicine 1516 W Devon Ave, Chicago, IL 60660-1314 2011-08-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225672280 Alexis Shelton Behavior Technician 6317 N Broadway, Chicago, IL 60660 2019-11-03
1912470105 Pipeline - Lakefront Medical Associates, LLC Family Medicine 6201 North Broadway, Chicago, IL 60660 2019-01-10
1417492224 Aynur Fataliyeva Non-emergency Medical Transport (VAN) 5701 N Sheridan Road, Apt 20g, Chicago, IL 60660 2017-01-03
1285187591 Bryan Moles Developmental Therapist 6157 N Kenmore, Apt #4s, Chicago, IL 60660 2016-08-03
1144609181 Ebm Consulting LLC Anesthesiology 5600 N Sheridan Road, #115, Chicago, IL 60660 2015-05-22
1295134112 Brent E Agran, Dds, LLC Dentist 5820 N. Clark St., 1s, Chicago, IL 60660 2014-08-15
1538573258 Emily Eaton Student in an Organized Health Care Education/Training Program 5643 N. Magnolia Ave, Chicago, IL 60660 2014-06-20
1538572664 Rozina Altaf Virani Nurse Practitioner 6033 N Sheridan Rd Ste N6, Chicago, IL 60660 2014-06-05
1548673866 Emily Mckernan Social Worker 5710 N Broadway Ave, Chicago, IL 60660 2014-06-04
1679902324 Christopher Burgess Psychologist 1554 W Hollywood, #storefront, Chicago, IL 60660 2013-11-04
Find all providers in zip 60660

Taxonomy Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417259979 Adolescent and Young Adult Place Ltd Pediatrics 9 N Cicero Ave, Chicago, IL 60644-3602 2010-12-03
1942520671 Cherie Priya Dhar Pediatrics 1440 N Dayton St Fl 3, Chicago, IL 60642-2644 2010-06-04
1649475377 Lisa Kantz Simons Pediatrics 225 E Chicago Ave # Ms 161b, Chicago, IL 60611-2991 2007-06-21
1447259759 Kimberly A. Koval Pediatrics 1030 N Clark St, Suite 400, Chicago, IL 60610-5467 2005-07-19
1235451402 Felicia Scott Pediatrics 1725 W Harrison St, Suite 710, Chicago, IL 60612-3841 2010-02-15
1124260625 Sonia Wengerhoff Pediatrics 2835 N Sheffield Ave, Suite 501, Chicago, IL 60657-5081 2009-03-30
1275773475 My Pediatrics Associates LLC Pediatrics 2875 W 19th St, Chicago, IL 60623-3501 2009-02-27
1528233087 Nava Segall Md Sc Pediatrics 4116 N Lincoln Ave, Chicago, IL 60618-3028 2008-04-25
1093934275 The Board of Trustees of The University of Illinois Pediatrics 840 S Wood St, Chicago, IL 60612-4325 2007-04-25
1427107812 Margo Antoinette Bell Pediatrics 1901 W Harrison St, Administration, Suite 1112, Chicago, IL 60612-3714 2007-01-09
Find all providers in CHICAGO

Competitor

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City CHICAGO
Zip Code 60660

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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