Atman P Shah
Interventional Cardiology Internist - Cardiovascular Disease
180 Harvester Dr Suite 110
Burr Ridge
, Illinois 60527-7594
Atman P Shah
Interventional Cardiology Internist - Cardiovascular Disease
180 Harvester Dr Suite 110
Burr Ridge
, Illinois 60527-7594
(773) 702-1372
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About
Features
Specialties
- Internist - Cardiovascular Disease
- Interventional Cardiology
Languages spoken
- English
Location
First Address
- Atman P Shah
- 5841 S Maryland Ave
- Chicago, IL
- Zip : 60637-1447
- Phone : (773) 702-1372
Second Address
- Atman P Shah
- 180 Harvester Dr Suite 110
- Burr Ridge, IL
- Zip : 60527-7594
- Phone : (773) 702-1150
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0000X | Internist - Cardiovascular Disease | 036122250 | IL |
| N | 207RC0000X | Internist - Cardiovascular Disease | 11809A | WY |
| Y | 207RI0011X | Interventional Cardiology | 036-122250 | IL |
| N | 207RI0011X | Interventional Cardiology | 11809A | WY |
National Provider Identifier
| NPI | 1033138557 |
|---|---|
| Provider Name | Atman P Shah |
| First Address | Chicago, IL 60637-1447 |
| Second Address | Burr Ridge, IL 60527-7594 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2006 |
| Last Update Date | 30/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| CH1382 | RRM (01) | CA |
| DA6447 | RRM (01) | CA |
| I62207 | (02) | CA |
| M050376 | GROUP (01) | CA |
| W14940 | GROUP (01) | CA |
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.