Prayag D Shah (NPI# 1720072184, PAC ID# 2961309851) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1720072184 |
| PAC ID by PECOS | 2961309851 |
| Professional Enrollment ID | I20070822001346 |
| Full Name | Prayag D Shah |
| Address |
575 S Perryville Rd Rockford IL 61108-2530 |
| Gender | M |
| Credential | OD |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 2002 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 575 S Perryville Rd, Rockford, IL 61108-2530 |
| Street Address |
575 S PERRYVILLE RD |
| City | ROCKFORD |
| State | IL |
| Zip | 61108-2530 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marie L Epling | Clinical Social Worker | 6975 Redansa Dr, Rockford, IL 61108-1201 | |
| Paul A Galluzzo | Podiatry | 6999 Redansa Dr, Rockford, IL 61108-1201 | |
| James M Viggiano | Psychologist, Clinical | 6975 Redansa Dr, Rockford, IL 61108-1201 | |
| Jason R Soriano | Psychologist, Clinical | 6975 Redansa Dr, Rockford, IL 61108-1201 | |
| Brian D Klaung | Clinical Social Worker | 6975 Redansa Dr, Rockford, IL 61108-1201 | |
| Suzanne E Stephan | Clinical Social Worker | 1463 S Bell School Rd, Suite 8, Rockford, IL 61108-1406 | |
| Beth A Drennen | Clinical Social Worker | 1463 S Bell School Rd, Suite 8, Rockford, IL 61108-1406 | |
| Lisa M Nackers | Psychologist, Clinical | University of Wisconsin Medical Foundation Inc | 2404 Charles St, Rockford, IL 61108-1602 |
| Sarah M Gurney | Nurse Practitioner | Swedishamerican Hospital | 2404 Charles St, Rockford, IL 61108-1602 |
| Leynard M Martinez | Family Medicine | Swedishamerican Hospital | 2404 Charles St, Rockford, IL 61108-1602 |
| Find all physicians in zip 61108 | |||
| City | ROCKFORD |
| Zip Code | 61108 |
| Specialty | OPTOMETRY |
| City + Specialty | ROCKFORD + OPTOMETRY |
Please comment or provide details below to improve the information on Prayag D Shah.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.