Search › Illinois › 174400000X
Pankaj Shah, M.D
NPI 1629024815 · on the registry since 2006 · sole proprietor
Practice
- Address
- 10035 Lincoln Trl
Fairview Heights, IL 62208 - Phone
- (618) 397-7700
- Fax
- (618) 397-7735
- Organisation at this address
- Cardio Diagnostic Systems, S.C.
Cardio Diagnostic Systems, S.C.Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-10-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois