RAVI SHAH (NPI# 1326579103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326579103 |
| Entity Type | Individual |
| Full Name | RAVI SHAH |
| Practice Address |
1775 Ballard Rd Park Ridge IL 60068-1005 |
| Practice Telephone | 8473186020 |
| Mailing Telephone | 8473186020 |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2018-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 125.070237 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609339555 | Ravi Gaurang Shah | Student in an Organized Health Care Education/Training Program | 171 Lake Ave, Colonia, NJ 07067-1354 | 2019-04-08 |
| 1669733507 | Ravi B Shah | Physical Therapist | 9 Floyd St, Jersey City, NJ 07306-3509 | 2012-06-07 |
| 1316204340 | Ravi Navin Shah | Psychiatry & Neurology | 3 Columbus Cir Ste 1430, New York, NY 10019-8723 | 2012-04-16 |
| 1013999895 | Ravi C Shah | Psychiatry & Neurology | 9235 Crown Crest Blvd, Suite 200, Parker, CO 80138-8880 | 2005-11-16 |
| 1396209383 | Ravi Shah | Psychologist | 246 E Janata Blvd Ste 112, Lombard, IL 60148-5377 | 2019-01-24 |
| 1891291720 | Ravi Sanjay Shah | Student in an Organized Health Care Education/Training Program | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2018-03-31 |
| 1053812263 | Ravi Yatin Shah | Pharmacist | 7800 Old Redwood Hwy, Cotati, CA 94931-5106 | 2018-02-22 |
| 1841722964 | Ravi Shah | Student in an Organized Health Care Education/Training Program | 101 Nicolls Rd, Suny At Stony Brook, Department of Anesthesiology, Stony Brook, NY 11794-8480 | 2017-03-29 |
| 1386175305 | Ravi J Shah | Student in an Organized Health Care Education/Training Program | 550 1st Ave, New York, NY 10016-6402 | 2017-03-22 |
| 1295186872 | Ravi Shah | Ophthalmology | 1977 Butler Blvd, Houston, TX 77030-4101 | 2016-06-25 |
| Street Address |
1775 BALLARD RD |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760483465 | Nesset Pavilion Pharmacy | Pharmacy | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2005-08-03 |
| 1235758418 | Benjamin David Catt | Family Medicine | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-04-08 |
| 1245869718 | Christopher Haansehm Kang | Student in an Organized Health Care Education/Training Program | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-04-06 |
| 1992334577 | Emily Rose Temple-wood | Family Medicine | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-04-05 |
| 1851920557 | Ryan Edwards | Student in an Organized Health Care Education/Training Program | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-04-04 |
| 1790314805 | Kishan Patel | Internal Medicine | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-04-02 |
| 1225667256 | Thomas Schmittdiel | Family Medicine | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-04-02 |
| 1730718719 | Laith Yasin | Internal Medicine | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-04-02 |
| 1740819747 | Misbah Razvi | Internal Medicine | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-04-02 |
| 1962030254 | Sasirekha Pandravada | Internal Medicine | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| Find all providers in zip 60068 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043586852 | Dimitrina Vizinas | Family Medicine | 1440 Renaissance Dr Ste 300, Park Ridge, IL 60068-1471 | 2012-03-26 |
| 1225289614 | Thomas Dent | Family Medicine | 1439 Courtland Ave, Park Ridge, IL 60068-5379 | 2008-10-04 |
| 1700042041 | Steven Joo Lee | Family Medicine | 1400 Renaissance Dr Ste 216, Park Ridge, IL 60068-1335 | 2008-08-06 |
| 1356508675 | Mary Kathryn Peterson | Family Medicine | 205 S Northwest Hwy Ste 130, Park Ridge, IL 60068-5802 | 2008-05-22 |
| 1831301688 | Northwest Medical Center S.c. | Family Medicine | 1022 N Northwest Hwy, Park Ridge, IL 60068-1831 | 2007-05-04 |
| 1235204397 | Keith Berndtson | Family Medicine | 15 N Prospect Ave, Park Ridge, IL 60068-3563 | 2006-11-22 |
| 1649382334 | Jozef Tryzno | Family Medicine | 760 Busse Hwy, Park Ridge, IL 60068-2402 | 2006-08-31 |
| 1508887183 | Blazej Lojewski | Family Medicine | 60 S Dee Rd Apt D, Park Ridge, IL 60068-3731 | 2006-07-21 |
| 1629005228 | Brian Allen Chicoine | Family Medicine | 1999 Dempster St, Park Ridge, IL 60068-1156 | 2006-06-27 |
| 1326028507 | Edward Koo | Family Medicine | 934 Wesley Dr, Park Ridge, IL 60068-2172 | 2006-01-22 |
| Find all providers in PARK RIDGE | ||||
| City | PARK RIDGE |
| Zip Code | 60068 |
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| 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.