Dr. Miraj G Shah-Khan
Surgeon Surgical Oncologist
15300 West Ave
Orland Park
, Illinois 60462-4600
Dr. Miraj G Shah-Khan
Surgeon Surgical Oncologist
15300 West Ave
Orland Park
, Illinois 60462-4600
(708) 923-5018
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About
Features
Specialties
- Surgeon
- Surgical Oncologist
Languages spoken
- English
Location
First Address
- Dr. Miraj G Shah-Khan
- 12251 S 80th Ave Ste 1630
- Palos Heights, IL
- Zip : 60463-1256
- Fax : (708) 923-5018
- Phone : (708) 923-5173
Second Address
- Dr. Miraj G Shah-Khan
- 15300 West Ave
- Orland Park, IL
- Zip : 60462-4600
- Fax : (708) 590-5524
- Phone : (708) 590-5520
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 036-121447 | IL |
| N | 208600000X | Surgeon | 036-121447 | IL |
| Y | 2086X0206X | Surgical Oncologist | 036121447 | IL |
National Provider Identifier
| NPI | 1407007958 |
|---|---|
| Provider Name | Dr. Miraj G Shah-Khan |
| First Address | Palos Heights, IL 60463-1256 |
| Second Address | Orland Park, IL 60462-4600 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/10/2008 |
| Last Update Date | 02/06/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 36121447 | (05) | 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.