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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. HASIN SHAH, MD

Active Sole Proprietor

DR. HASIN SHAH, MD is a General Practice healthcare provider located in ST ELMO, Illinois. NPI 1750483657 is currently active in the NPPES registry. Verify at CMS.

General Practice · ST ELMO, IL

Registration Details

NPI Number
1750483657
Provider Type
Individual
Gender
Male
NPI Issued
Sep 1, 2006 (19.965792575346 yrs)
Last Updated
Sep 13, 2011
License
036053206 (IL)
Sole Proprietor
Yes

Practice Information

Address
515 N MAIN STREET
ST ELMO, IL, 62458
Browse IL providers · Browse ZIP 62458
Phone
6188293200
Fax
6188293970
Primary Specialty
General Practice
208D00000X
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.