National Provider Identifier Database

HASIN SHAH, MD – NPI #1750483657
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

HASIN SHAH, MD
515 N MAIN STREET
SAINT ELMO, IL62458
Phone: 618-829-3200
Fax: 618-829-3970
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for HASIN SHAH

NPI Number 1750483657
Credentials MD
Entity Individual
Enumeration date 09/01/2006
Last updated 09/13/2011 - About 15 years ago
Sole proprietor1 Yes
Identifiers
  • IL License #: 036053206
  • IL Medicaid: 036053206
  • Other: 0002600030 BCBS
  • Other: 371026381 HL
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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