Aruna S Shah
Adolescent Medicine
419 N Mulford Rd Ste. #1
Rockford
, Illinois 61107-5197
Aruna S Shah
Adolescent Medicine
419 N Mulford Rd Ste. #1
Rockford
, Illinois 61107-5197
(815) 229-9095
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Aruna S Shah
- 419 N Mulford Rd Ste. #1
- Rockford, IL
- Zip : 61107-5197
- Phone : (815) 229-9095
Second Address
- Aruna S Shah
- 419 N Mulford Rd Ste. #1
- Rockford, IL
- Zip : 61107-5197
- Phone : (815) 229-9095
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | IL |
National Provider Identifier
| NPI | 1225138142 |
|---|---|
| Provider Name | Aruna S Shah |
| First Address | Rockford, IL 61107-5197 |
| Second Address | Rockford, IL 61107-5197 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/09/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F39065 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.