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

DR. ANSUYA SHAH, M.D

Active Sole Proprietor

DR. ANSUYA SHAH, M.D is a Primary Care Clinic healthcare provider located in RIVER FOREST, Illinois. NPI 1902133937 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · RIVER FOREST, IL

Registration Details

NPI Number
1902133937
Provider Type
Individual
Gender
Female
NPI Issued
Nov 12, 2009 (16.774513876734 yrs)
Last Updated
Nov 12, 2009
License
036054371
Sole Proprietor
Yes

Practice Information

Address
1146 PARK AVE
RIVER FOREST, IL, 603051310
Browse IL providers · Browse ZIP 60305
Phone
7083662707
Primary Specialty
Primary Care Clinic
261QP2300X
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.