PRAVIN SHAH (NPI# 1801981022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801981022 |
| Entity Type | Individual |
| Full Name | PRAVIN SHAH |
| Credential | M.D. |
| Practice Address |
600 W Fulton St Suite 200 Chicago IL 60661-1259 |
| Practice Telephone | 3125262000 |
| Practice Fax Number | 3125262152 |
| Mailing Telephone | 3125262000 |
| Mailing Fax Number | 3125262152 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2011-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036-055245 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609930254 | Pravin J Shah | Family Medicine | 782 Theodore Burnett Ct, Suite 5, Louisville, KY 40217-2958 | 2006-12-20 |
| 1467473231 | Pravin S Shah | Specialist | 1400e Golf Rd 222, Des Plaines, IL 60016-1252 | 2006-07-21 |
| 1679613368 | Pravin Shah | Specialist | 1 Hoag Dr, Newport Beach, CA 92663-4162 | 2007-02-08 |
| 1326041211 | Pravin Shah | Surgery | 19 Bradhurst Ave, Ste 700, Hawthorne, NY 10532-2140 | 2005-05-24 |
| Street Address |
600 W FULTON ST SUITE 200 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60661-1259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588643431 | Serenity Health & Wellness, Ltd | Chiropractor | 600 W Fulton St, Suite 304, Chicago, IL 60661-1259 | 2006-01-10 |
| 1023593332 | Muyiwa Adetona Babarinde | Registered Nurse | 600 W Fulton St, Chicago, IL 60661-1259 | 2018-10-02 |
| 1285111633 | Kaitlyn Selser | Counselor | 600 W Fulton St, Chicago, IL 60661-1259 | 2018-07-27 |
| 1952761868 | Eric Martinez | Nurse Practitioner | 600 W Fulton St, Suite 200, Chicago, IL 60661-1259 | 2016-03-04 |
| 1821409368 | Healthcura Inc | Health Maintenance Organization | 600 W Fulton St, Chicago, IL 60661-1259 | 2014-05-19 |
| 1699117531 | Serenity Integrative Medicine Ltd | Chiropractor | 600 W Fulton St, Suite 304, Chicago, IL 60661-1259 | 2013-07-19 |
| 1063854198 | Serenity Family Wellness Ltd | Chiropractor | 600 W Fulton St, Suite 304, Chicago, IL 60661-1259 | 2013-07-17 |
| 1215251277 | Richard F Shepherd | Social Worker | 600 W Fulton St, Suite 200, Chicago, IL 60661-1259 | 2010-03-19 |
| 1710133079 | Frank Thomas Sutter | Chiropractor | 600 W Fulton St, Suite 304, Chicago, IL 60661-1259 | 2008-08-18 |
| 1811078595 | Hyung-shik Kang | Obstetrics & Gynecology | 600 W Fulton St, Suite 200, Chicago, IL 60661-1259 | 2006-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053957993 | Safer Foundation | Clinic/Center | 769 W Jackson, Unit G, Chicago, IL 60661 | 2019-11-26 |
| 1174003644 | Safer Foundation | Clinic/Center | 571 W Jackson Blvd, Chicago, IL 60661 | 2018-08-15 |
| 1154835932 | Kathleen Emery | Psychologist | 555 W Jackson Blvd Ste 700, Chicago, IL 60661 | 2017-11-30 |
| 1407384886 | Dana M Trotta | Physical Therapist | 500 W Madison St # C024, Chicago, IL 60661 | 2017-05-30 |
| 1003356874 | Carcena Harvey-burns | Nurse Practitioner | 549 W Randolph St, Chicago, IL 60661 | 2017-02-27 |
| 1962949610 | H & U of West Loop LLC | Dentist | 207 S. Halsted St., Chicago, IL 60661 | 2017-01-19 |
| 1851700066 | Lauren Lew | Physician Assistant | 555 West Madison St. Apt 4903, Chicago, IL 60661 | 2014-08-13 |
| 1306114699 | Telos Therapy, LLC | Physical Therapist | 651 W Washington Blvd Ste 305, Chicago, IL 60661 | 2011-12-01 |
| 1912288622 | Peter Cuauhtemoc Shinnick | Pharmacist | 111 S Halsted, Chicago, IL 60661 | 2011-09-08 |
| 1619292570 | Ramandeep Kaur | Family Medicine | 1717 W. Congress Parkway Kellogg Suite 1125, Rush University Medical Center, Chicago, IL 60661 | 2010-04-05 |
| Find all providers in zip 60661 | ||||
| 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 |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 1124645700 | Timothy Alan Williams Jr. | Family Medicine | 1625 E 75th St Fl 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 1194340026 | Kaysha Lynne Ribao | Family Medicine | 2116 S Springfield Ave, Chicago, IL 60623-2465 | 2020-06-16 |
| 1932724341 | Toni Kurian | Family Medicine | 1550 S Indiana Ave Apt 407, Chicago, IL 60605-4822 | 2020-06-11 |
| 1528689486 | Thurman J Robertson | Family Medicine | 1950 W. Polk Street, 7th Floor, Chicago, IL 60612-3714 | 2020-05-01 |
| 1629697297 | Lyndsey Danielle Johnson | Family Medicine | 2804 W Walton St, Chicago, IL 60622-4450 | 2020-04-13 |
| 1730708884 | Iruoma Genevieve Nwangwu | Family Medicine | 1950 W Polk Street, Chicago, IL 60612-3714 | 2020-04-09 |
| 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.