Ashvin N Shah, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036058180 Issued in IL

Practice address

2315 E 93Rd St Ste 340
Chicago, IL 60617-3948

Phone

(773) 468-9000

Fax

(847) 587-6113

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1477561744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 E 93RD ST STE 340",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173948",
            "telephone_number": "773-468-9000",
            "fax_number": "847-587-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 E 93RD ST STE 340",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173948",
            "telephone_number": "773-468-9000",
            "fax_number": "847-587-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ASHVIN",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036058180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036058180",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arpit Suresh Shah, DO
• Ashka Shah, DMD
• Ashmeet Shah
• Ashok C Shah, MD
• Ashok N Shah, MD
• Ashwin M. Shah, M.D.
• Atman Shah
• Avani Vinod Shah, M.D.
• Ayesha Shah
• Bansari Shah, M.D.

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.