| Shah Medical Associates Llc | |
|
2560 Hauser Ross Dr Suite 450 Sycamore IL 60178-3150 | |
| (703) 964-8199 | |
| Not Available |
| Full Name | Shah Medical Associates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2560 Hauser Ross Dr, Sycamore, Illinois |
| Authorized Official Name and Position | Asad Shah (OWNER / PHYSICIAN) |
| Authorized Official Contact | 7039648199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shah Medical Associates Llc 2560 Hauser Ross Dr Suite 450 Sycamore IL 60178-3150 Ph: () - | Shah Medical Associates Llc 2560 Hauser Ross Dr Suite 450 Sycamore IL 60178-3150 Ph: (703) 964-8199 |
| NPI Number | 1609821008 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 07/14/2022 |
| Medicare PECOS PAC ID | 7113970724 |
|---|---|
| Medicare Enrollment ID | O20050223000642 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609821008 | NPI | - | NPPES |
| 0001932052 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Asad A Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588631378 PECOS PAC ID: 9830142447 Enrollment ID: I20050223000669 |
| Provider Name | Hina Nawab |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568698918 PECOS PAC ID: 4486828522 Enrollment ID: I20111129000593 |
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