RIAZ SHAH


Address: 221 Ne Glen Oak Ave, Suite 504, Peoria, IL 61636-0001
Phone: 3096725729

RIAZ SHAH (NPI# 1003823220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003823220
Entity Type Individual
Full Name RIAZ SHAH
Credential MD
Practice Address 221 Ne Glen Oak Ave
Suite 504
Peoria
IL 61636-0001
Practice Telephone 3096725729
Mailing Telephone 3096725729
Enumeration Date 2006-08-01
Last Update Date 2013-08-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 036106955 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL JOHN DEERE IL01Q1 01
IL HEALTHLINK 472011 01
IL HEALTH ALLIANCE 075505 01
IL BCBS PPO 7215059 01
IL 0361069551 05
IL RAILROAD MEDICARE 110242961 01

Other Providers RIAZ SHAH

NPI Name Taxonomy Address Enumeration
1417105602 Riaz Ali Shah Transplant Surgery 1321 Cottonwood St, Suite 203, Woodland, CA 95695-5131 2008-09-03

Office Location

Street Address 221 NE GLEN OAK AVE
SUITE 504
City PEORIA
State IL
Zip Code 61636-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851384135 John Alan Howerton Pharmacist 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 2005-08-23
1437750130 Vanezza Buendia Physical Therapist 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 2020-11-08
1306443056 Austyn Powers Nurse Practitioner 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 2020-10-06
1396357091 Christopher Legan Counselor 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 2020-08-24
1417575853 Joseph Babione Psychologist 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 2020-07-13
1811512411 Methodist Counselor 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 2020-06-10
1760003230 Alexandra Bryan Dietitian, Registered 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 2020-05-06
1467080523 Dustin Dariusz Pilat Student in an Organized Health Care Education/Training Program 221 Ne Glen Oak Ave, Peoria, IL 61636-5027 2020-04-01
1295363505 Abigail Brea Sebald Student in an Organized Health Care Education/Training Program 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 2020-03-31
1790313054 Elizabeth Alexandra Edwards Student in an Organized Health Care Education/Training Program 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 2020-03-31
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962767376 Aman Deep Singh Psychiatry & Neurology 221 Ne Glen Oak Ave. 7 West, Dept. of Psych. and Behavior Health., Peoria, IL 61636 2012-07-11
1932490075 Christine Ann Wigginton Radiology 221 Ne Glen Oak Ave Dept Of, Peoria, IL 61636 2011-04-24
1568901544 Stephanie Ann Sullivan Nurse Anesthetist, Certified Registered Unity Point Health Methodist, 221 Ne Glen Oak Avenue, Peoria, IL 61636-0001 2017-02-23
1073066155 Caroline Vanaman Counselor 221 Ne Glen Oak Ave # 7w, Peoria, IL 61636-0001 2016-07-26
1497141758 Amber Hemminger Registered Nurse 200 Ne Glen Oak Ave, Peoria, IL 61636-0001 2015-04-13
1326288812 Bradley Reatherford Registered Nurse 221 Northeast Ave, Peoria, IL 61636-0001 2009-02-24
1386784155 Eric Hawkins Anesthesiology 22i Ne Glen Oak Ave, Methodist Medical Center Anesthesiology, Peoria, IL 61636-0001 2007-02-08
1386659241 Central Illinois Radiological Associates, Ltd. Radiology Osf St Francis Medical Ctr, 530 N.e. Glen Oak, Peoria, IL 61636-0001 2006-07-29
1659345007 Mary C Bruell Social Worker Dept of Psychiatry, 221 Ne Glen Oak 7 West, Peoria, IL 61636-0001 2006-02-14
1245203280 University of Illinois Psychiatry & Neurology Department of Psychiatry, 221 Ne Glen Oak 7 West, Peoria, IL 61636-0001 2006-02-09
Find all providers in zip 61636

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841779063 Chris Brooker Do Pllc Internal Medicine 7747 W Deer Valley Rd Ste 250, Peoria, AZ 85382-2124 2018-08-08
1447736665 Artem Aesthestics & Wellness LLC Internal Medicine 9059 W Lake Pleasant Pkwy Ste C320, Peoria, AZ 85382-8394 2018-07-11
1568956670 Mckenzie Elle Wylie Internal Medicine Unity Point Health 815 Main St, Suite C, Peoria, IL 61602-1080 2018-06-21
1013417617 Elite Infusions LLC Internal Medicine 10252 W Villa Chula, Peoria, AZ 85383 2018-02-20
1518318005 Jason Thomas Taylor Internal Medicine 538 Ne Glen Oak Ave, Peoria, IL 61637-0001 2016-06-26
1134508112 Anthony Alexander Baldoni Internal Medicine Saint Francis Medical Center 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2015-05-25
1194133850 Ashish Kumar Roy Internal Medicine 530 N.e. Glen Oak Ave, Peoria, IL 61637 2014-07-25
1083047401 Paul Stuart Moots Internal Medicine 929 W Loire Ct, Apt 1211, Peoria, IL 61614-1850 2013-08-21
1386085975 Amit Bhushan Sharma Internal Medicine 1505 N Peoria Ave # Appt806, Peoria, IL 61603-3140 2013-07-10
1205171709 Amruta Surendra Jaju Internal Medicine 5401 N Knoxville Ave Ste 204, Peoria, IL 61614-5021 2012-12-10
Find all providers in PEORIA

Competitor

Search similar providers

City PEORIA
Zip Code 61636

Improve Information

Please comment or provide details below to improve the information on RIAZ SHAH.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches