Prit Shah
Anesthesiologist
350 N Wall St
Kankakee
, Illinois 60901-2901
Prit Shah
Anesthesiologist
350 N Wall St
Kankakee
, Illinois 60901-2901
(516) 945-3131
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About
Features
Specialties
- Anesthesiologist
Languages spoken
- English
Location
First Address
- Prit Shah
- 68 S Service Rd Suite 350
- Melville, NY
- Zip : 11747-2354
- Fax : (516) 945-3131
- Phone : (516) 945-3115
Second Address
- Prit Shah
- 350 N Wall St
- Kankakee, IL
- Zip : 60901-2901
- Fax : (815) 933-1671
- Phone : (617) 638-6500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207L00000X | Anesthesiologist | 036137651 | IL |
National Provider Identifier
| NPI | 1003107772 |
|---|---|
| Provider Name | Prit Shah |
| First Address | Melville, NY 11747-2354 |
| Second Address | Kankakee, IL 60901-2901 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/04/2011 |
| Last Update Date | 31/08/2016 |
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.