Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PRABODH C SHAH, M.D.
ActivePRABODH C SHAH, M.D. is a Hematology healthcare provider located in EVERGREEN PARK, Illinois. NPI 1316935240 is currently active in the NPPES registry. Verify at CMS.
Hematology · EVERGREEN PARK, IL
Registration Details
- NPI Number
- 1316935240
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 13, 2005 (20.842120186089 yrs)
- Last Updated
- Jun 23, 2014
- Licenses
-
036042091 (IL)A25747 (CA)
Practice Information
- Address
-
2800 W 95TH STCANCER CENTEREVERGREEN PARK, IL, 608052701Browse IL providers · Browse ZIP 60805
- Phone
- 7082296020
- Fax
- 7082296083
- Primary Specialty
-
Hematology
207RH0003X
- Additional Specialty
- Hematology
Other Hematology Providers in EVERGREEN PARK, IL
| Name | Credential | NPI |
|---|---|---|
| M.BASSEL ATASSI | M.D. | 1689876328 |
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.