Dr Hasin Shah, MD is a
General Practice physician based in St Elmo, Illinois. Dr Hasin Shah is licensed to practice in Illinois (license number 036053206) and his current practice location is 515 N Main Street, St Elmo, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 829-3200.
NPI number for Dr Hasin Shah is 1750483657 and his current mailing address is 515 N Main Street, St Elmo, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750483657.
Physician's Profile
| Full Name | Dr Hasin Shah |
|---|
| Gender | Male |
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| Speciality | General Practice |
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| Location | 515 N Main Street, St Elmo, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1750483657
- Provider Enumeration Date: 09/01/2006
- Last Update Date: 09/13/2011
Medical Identifiers
Medical identifiers for Dr Hasin Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750483657 | NPI | - | NPPES |
| 371026381 | Other | | HL |
| 0002600030 | Other | | BCBS |
| 036053206 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 036053206 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Hasin Shah is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Hasin Shah, MD
515 N Main Street,
St Elmo, IL 62458
Ph: (618) 829-3200 | Dr Hasin Shah, MD
515 N Main Street,
St Elmo, IL 62458
Ph: (618) 829-3200 |
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