Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAVI M. SHAH
ActiveRAVI M. SHAH is a Sports Medicine healthcare provider located in TINLEY PARK, Illinois. NPI 1326579103 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · TINLEY PARK, IL
Registration Details
- NPI Number
- 1326579103
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 23, 2017 (9.4370228745224 yrs)
- Last Updated
- May 6, 2024
- Licenses
-
125.070237 (IL)036.149951 (IL)
Practice Information
- Address
-
7543 183RD STTINLEY PARK, IL, 604776208Browse IL providers · Browse ZIP 60477
- Phone
- 7082632000
- Fax
- 7082632023
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
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.