| Rachna Shah Md Sc | |
|
675 West North Ave #310 Melrose Park IL 60160 | |
| (708) 450-5054 | |
| Not Available |
| Full Name | Rachna Shah Md Sc |
|---|---|
| Speciality | Allergy & Immunology |
| Location | 675 West North Ave, Melrose Park, Illinois |
| Authorized Official Name and Position | Rachna Shah (PRESIDENT) |
| Authorized Official Contact | 2162881154 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rachna Shah Md Sc 675 West North Ave #310 Melrose Park IL 60160 Ph: () - | Rachna Shah Md Sc 675 West North Ave #310 Melrose Park IL 60160 Ph: (708) 450-5054 |
| NPI Number | 1942578703 |
|---|---|
| Provider Enumeration Date | 12/08/2011 |
| Last Update Date | 01/20/2012 |
| Medicare PECOS PAC ID | 3375708258 |
|---|---|
| Medicare Enrollment ID | O20120627000022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942578703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 36-122188 (Illinois) | Secondary |
| 207K00000X | Allergy & Immunology | 36-122188 (Illinois) | Primary |
| Provider Name | Rachna Shah |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1053592451 PECOS PAC ID: 3678742475 Enrollment ID: I20110812000099 |
| Provider Name | Karina Shah Gobin |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1962798801 PECOS PAC ID: 3971829110 Enrollment ID: I20150305000268 |
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