Dr. Shivani Pankaj Shah
Pediatric Endocrinologist
12 Salt Creek Ln Suite 106
Hinsdale
, Illinois 60521-8605
Dr. Shivani Pankaj Shah
Pediatric Endocrinologist
12 Salt Creek Ln Suite 106
Hinsdale
, Illinois 60521-8605
(630) 323-0260
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About
Features
Specialties
- Pediatric Endocrinologist
Languages spoken
- English
Location
First Address
- Dr. Shivani Pankaj Shah
- 12 Salt Creek Ln Suite 106
- Hinsdale, IL
- Zip : 60521-8605
- Fax : (630) 323-0260
- Phone : (630) 856-2731
Second Address
- Dr. Shivani Pankaj Shah
- 12 Salt Creek Ln Suite 106
- Hinsdale, IL
- Zip : 60521-8605
- Fax : (630) 323-0260
- Phone : (630) 856-2731
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0205X | Pediatric Endocrinologist | 036120677 | IL |
National Provider Identifier
| NPI | 1255591632 |
|---|---|
| Provider Name | Dr. Shivani Pankaj Shah |
| First Address | Hinsdale, IL 60521-8605 |
| Second Address | Hinsdale, IL 60521-8605 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/06/2008 |
| Last Update Date | 25/02/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 399980 | MEDICARE GROUP PTAN (01) |
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.