DR. SAURABH SHAH (NPI# 1992723589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992723589 |
| Entity Type | Individual |
| Full Name | DR. SAURABH SHAH |
| Credential | M.D. |
| Practice Address |
3118 N Ashland Ave Chicago IL 60657-3014 |
| Mailing Address |
3134 N Clark St Chicago IL 60657-4414 |
| Practice Telephone | 7738809722 |
| Practice Fax Number | 7738809723 |
| Mailing Telephone | 7738809722 |
| Mailing Fax Number | 3127664917 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036116721 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
036116721 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | NPI GROUP PRACTICE | 1487951711 | 01 |
| IL | BCBS | 1602375 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790717957 | Saurabh B Shah | Otolaryngology | 225 E 2nd Ave, Escondido, CA 92025-4212 | 2006-07-07 |
| Street Address |
3118 N ASHLAND AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-3014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316998578 | West Suburban Cardiologists, Ltd. | Internal Medicine | 3118 N Ashland Ave, Chicago, IL 60657-3014 | 2006-05-13 |
| 1376819730 | Lisa Zull | Nurse Practitioner | 3118 N Ashland Ave, Chicago, IL 60657-3014 | 2012-03-29 |
| 1487951711 | Advocate Health and Hospitals Corp. | Internal Medicine | 3118 N Ashland Ave, Chicago, IL 60657-3014 | 2011-02-23 |
| 1609173426 | Allan Julian Beall Sacasa | Internal Medicine | 3118 N Ashland Ave, Chicago, IL 60657-3014 | 2011-02-14 |
| 1003007170 | Sorin C Danciu | Internal Medicine | 3118 N Ashland Ave, Chicago, IL 60657-3014 | 2007-08-05 |
| 1821036047 | Peter J Stecy | Internal Medicine | 3118 N Ashland Ave, Chicago, IL 60657-3014 | 2006-06-02 |
| 1972550846 | Cesar J Herrera | Internal Medicine | 3118 N Ashland Ave, Chicago, IL 60657-3014 | 2006-05-27 |
| 1831145804 | Ajay Baddi | Internal Medicine | 3118 N Ashland Ave, Chicago, IL 60657-3014 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| Find all providers in zip 60657 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912917030 | Martin C Burke | Internal Medicine | 1006 S Michigan Ave, Suite 501, Chicago, IL 60605-2254 | 2006-08-09 |
| 1316998578 | West Suburban Cardiologists, Ltd. | Internal Medicine | 3118 N Ashland Ave, Chicago, IL 60657-3014 | 2006-05-13 |
| 1952359242 | Samer Dibs | Internal Medicine | 2222 W Division St Ste 340, Chicago, IL 60622-2995 | 2006-05-05 |
| 1093712481 | Erica D Engelstein | Internal Medicine | 7447 W Talcott Ave Ste 222, Chicago, IL 60631-3713 | 2005-06-30 |
| 1861007239 | Marian Heart Rhythm Consultants Sc | Internal Medicine | 2222 W Division St Ste 205, Chicago, IL 60622-3094 | 2020-09-13 |
| 1356792857 | Kelvin Chi Ming Chua | Internal Medicine | 5841 S Maryland Ave, Mc 6080, Chicago, IL 60637-1447 | 2016-06-26 |
| 1124434683 | Varun R Garg | Internal Medicine | 1725 W Harrison St Ste 970, Chicago, IL 60612-3828 | 2014-07-05 |
| 1710305826 | Ryan Jonathan William Burris | Internal Medicine | 5841 S. Maryland Ave, Mail Code: 6080, Chicago, IL 60637-1443 | 2014-04-04 |
| 1487951711 | Advocate Health and Hospitals Corp. | Internal Medicine | 3118 N Ashland Ave, Chicago, IL 60657-3014 | 2011-02-23 |
| 1104058379 | Kristin S Duque | Internal Medicine | 2233 W Division St, 2nd Floor Cardiology Department, Chicago, IL 60622-8151 | 2009-08-20 |
| 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.