Manzoor H Shah (NPI# 1811080716, PAC ID# 5193617744) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1811080716 |
PAC ID by PECOS | 5193617744 |
Professional Enrollment ID | I20040327000236 |
Full Name | Manzoor H Shah |
Address |
1479 Ring Rd Calumet City IL 60409-5459 |
Gender | M |
Credential | MD |
Graduation Year | 1972 |
Primary Specialty | INTERNAL MEDICINE |
Secondary Specialties | CRITICAL CARE (INTENSIVISTS), PULMONARY DISEASE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
150004 | FRANCISCAN ST. MARGARET HEALTH HAMMOND |
140181 | SOUTH SHORE HOSPITAL |
140048 | ADVOCATE TRINITY HOSPITAL |
150090 | FRANCISCAN HEALTH DYER |
150125 | COMMUNITY HOSPITAL |
Address | Phone | Organization |
---|---|---|
1479 Ring Rd, Calumet City, IL 60409-5459 | ||
921 Fran Lin Pkwy, Munster, IN 46321-3540 |
Street Address |
1479 RING RD |
City | CALUMET CITY |
State | IL |
Zip | 60409-5459 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kionie T Abraham | Nurse Practitioner | Illiana Home Physician Services Inc | 2100 Sibley Blvd, Suite 104, Calumet City, IL 60409-2153 |
Naomi Lockett | Nurse Practitioner | Illiana Home Physician Services Inc | 2100 Sibley Blvd, Suite 104, Calumet City, IL 60409-2153 |
Rama R Medavaram | Family Medicine | 1851 Sibley Boulevard, Calumet City, IL 60409-2252 | |
David N Gasbarro | Podiatry | 518 Burnham Ave, Calumet City, IL 60409-3401 | |
Nwanneka A Richardson | Pediatric Medicine | 510 Burnham Ave, Calumet City, IL 60409-3401 | |
Kiritkumar Trivedi | Internal Medicine | 656 Wentworth Ave, Calumet City, IL 60409-4221 | |
Cynthia A Goldman | Internal Medicine | 1600 167th St, Suite 700, Calumet City, IL 60409-5407 | |
Phillip T Nigro | Orthopedic Surgery | Primary Healthcare Associates Sc | 1600 167th St, Suite 900, Calumet City, IL 60409-5407 |
Srinivasu Kusuma | Orthopedic Surgery | Primary Healthcare Associates Sc | 1600 167th St, Suite 900, Calumet City, IL 60409-5407 |
George S Miz | Orthopedic Surgery | Primary Healthcare Associates Sc | 1600 167th St, Suite 900, Calumet City, IL 60409-5407 |
Find all physicians in zip 60409 |
City | CALUMET CITY |
Zip Code | 60409 |
Specialty | INTERNAL MEDICINE |
City + Specialty | CALUMET CITY + INTERNAL MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.