AVANI VINOD SHAH (NPI# 1790913036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790913036 |
| Entity Type | Individual |
| Full Name | AVANI VINOD SHAH |
| Credential | M.D. |
| Practice Address |
630 N State St Apt 1502 Chicago IL 60654 |
| Mailing Address |
630 N State St Apt 1502 Chicago IL 60654-5549 |
| Practice Telephone | 8478583448 |
| Mailing Fax Number | 3177776644 |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2018-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
01075707 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201315270 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578113908 | Avani Shah | Physician Assistant | 41 Burlington Mall Road 7 West Neurology Dept, Burlington, MA 01805-2015 | 2019-09-17 |
| 1548285083 | Avani Shah | Internal Medicine | 22650 Cedar Lane Ct, Leonardtown, MD 20650 | 2006-07-13 |
| 1902873128 | Avani Ketan Shah | Internal Medicine | 5600 Bayshore Rd, Palmetto, FL 34221-9352 | 2006-03-07 |
| 1689128043 | Avani Shah | Dentist | 8611 S Sepulveda Blvd, Los Angeles, CA 90045-4001 | 2016-08-15 |
| 1093111577 | Avani Shah | Nurse Practitioner | 55 Fruit St, Boston, MA 02114 | 2014-11-11 |
| 1497165872 | Avani Shah | Psychiatry & Neurology | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2014-05-06 |
| 1437432309 | Avani Shah | Pharmacist | 5500 County Farm Rd, Hanover Park, IL 60133-5104 | 2011-09-27 |
| 1760615371 | Avani Shah | Speech-Language Pathologist | 3401 N 67th Ave, Phoenix, AZ 85033-4517 | 2009-08-29 |
| 1316183510 | Avani Shah | Chiropractor | 7315 Cumberland Dr, Hanover Park, IL 60133-2616 | 2008-12-18 |
| 1447301486 | Avani Sarup Shah | Speech-Language Pathologist | 1829 E Franklin St, Bldg. # 600, Chapel Hill, NC 27514-5861 | 2007-01-16 |
| Street Address |
630 N STATE ST APT 1502 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912523564 | Male-order Men's Health LLC | Pharmacy | 710 N. Dearborn St., Chicago, IL 60654 | 2020-06-19 |
| 1669014924 | Tanner John Magee | Chiropractor | 415 N. Lasalle St., Suite 605, Chicago, IL 60654 | 2019-10-08 |
| 1144873886 | Fraeda Friedman | Social Worker | 451 N Lasalle Dr, Chicago, IL 60654 | 2019-07-22 |
| 1568024040 | Robin Elizabeth Miller | Dietitian, Registered | 770 North Lasalle Street, Suite 800, Chicago, IL 60654 | 2019-07-03 |
| 1487115804 | Ontario Street Operatory Fac | Clinic/Center | 22 W Ontario Street Operatory, Chicago, IL 60654 | 2019-03-28 |
| 1134697683 | Ghazal Kermani | Dentist | 350 North Clark Street, Suite 600, Chicago, IL 60654 | 2018-11-02 |
| 1225516842 | Tyler Jonathan Hinkel | Radiology | 33 W Ontario St Apt 46f, Chicago, IL 60654 | 2018-08-06 |
| 1710495312 | Mia Zarlengo | Dietitian, Registered | 770 N Lasalle Dr, 800, Chicago, IL 60654 | 2018-01-17 |
| 1568970341 | Kelly Lyons | Acupuncturist | 770 N Lasalle St., Suite 800, Chicago, IL 60654 | 2018-01-16 |
| 1407367568 | Amy Mcnicholas | Counselor | 721 N Lasalle, Chicago, IL 60654 | 2017-10-17 |
| Find all providers in zip 60654 | ||||
| Taxonomy Code | 2080P0214X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Pulmonology |
| A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437593472 | Brenda Louise Giles | Pediatrics | 5721 South Maryland Avenue, Dept of Peds, K160j, Mc8000, The University of Chicago, Chicago, IL 60637 | 2013-04-22 |
| 1891816781 | Kimberly D. Watts | Pediatrics | 2300 N Childrens Plz # 43, Chicago, IL 60614-3363 | 2007-04-02 |
| 1578612438 | Childrens Medical Center Sc | Pediatrics | 1801 W 47th St, Chicago, IL 60609-3872 | 2007-01-09 |
| 1770542862 | Thomas Patrick Green | Pediatrics | 2400 Childrens Plaza, Childrens Memorial Hospital, Chicago, IL 60614 | 2006-03-20 |
| 1841701075 | Ashley Black | Pediatrics | 6501 S Promontory Dr, Chicago, IL 60649-1003 | 2017-10-16 |
| 1699188623 | John Palla | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2014-06-06 |
| 1922258045 | Harsha Vardhan Hampasandra Madan Kumar | Pediatrics | 1740 W Taylor St, Chicago, IL 60612-7232 | 2008-09-25 |
| 1306002290 | Argyri Petrocheilou | Pediatrics | 2300 N Childrens Plz, Division of Pulmonary Box #43, Chicago, IL 60614-3363 | 2008-07-31 |
| 1447427869 | Mark Haupt | Pediatrics | 2300 N Childrens Plz, Department of Pulmonary Medicine, Box 43, Chicago, IL 60614-3363 | 2008-05-14 |
| 1639345598 | Sindhuja Harsha Vardhan | Pediatrics | 1801 W Taylor St, Suite 2e, Chicago, IL 60612-4795 | 2008-05-01 |
| Find all providers in CHICAGO | ||||
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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.