Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HARENDRA P. SHAH, PA-C
ActiveMedical Physician Assistant · CHICAGO, IL
Registration Details
- NPI Number
- 1306847207
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 2, 2005 (20.718232941438 yrs)
- Last Updated
- Oct 25, 2024
- License
-
085-001700 (IL)
Practice Information
- Address
-
6349, N FAIRFIELD AVENUEPRISM MEDICAL CENTERCHICAGO, IL, 606591705Browse IL providers · Browse ZIP 60659
- Phone
- 7732621300
- Fax
- 7732621184
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. JOANNE SIM BAVELIS | PAC | 1063406718 |
| MS. TRACI AARON | PA-C | 1174510200 |
| MS. LACEY MONTGOMERY | PA-C | 1639166796 |
| MR. BARRY S SABRANSKY | PA-C | 1598752578 |
| GINA J UGO-NEFF | PA-C | 1174511851 |
| MR. MICHAEL CRISTOFANO | PA-C | 1407826472 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.