Uday Shah MD SC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

036057749 Issued in IL

Legal business name

UDAY SHAH MD SC

Practice address

9133 S Stony Island Ave
Chicago, IL 60617-3936

Phone

(773) 221-4645

Fax

(773) 221-4849

NPI assigned

Oct 10, 2007

Last updated

Sep 19, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Uday Shah, MDNPI 1730107715

Title

President

Phone

(773) 221-4645

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Uday Shah, M.D.

  • Cardiovascular Disease Physician
  • Chicago, IL
  • NPI 1730107715
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1316135841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9133 S STONY ISLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173936",
            "telephone_number": "773-221-4645",
            "fax_number": "773-221-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9133 S STONY ISLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173936",
            "telephone_number": "773-221-4645",
            "fax_number": "773-221-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UDAY SHAH MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "UDAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-221-4645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036057749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060001645",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200074090B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000326579",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "31600160",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036057749",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald Walter Uczen, DDS
• Ud Group LLC
• Kunjan Udani, MD
• Matthew Edwin Kozak Udani
• Uday I Vyas MD SC
• Shreeyala Uday, M.D.
• Farhana F Uddin, P.A.
• Omar Minhaj Uddin, MD
• Byron Udegbe, MD
• Cynthia Uchechukwu Udeh, DDS

• Cardiovascular Disease Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.