HASIN SHAH, MD, General Practice SAINT ELMO, IL

Contact Information

HASIN SHAH, MD

515 N MAIN STREET
SAINT ELMO, IL 62458

Phone: 618-829-3200
Fax: 618-829-3970
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	General Practice	208D00000X	99	Physician/Undefined Physician type[6]

Indicates primary specialty

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NPI Profile & details for HASIN SHAH · (Male)

NPI #	`1750483657`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	09/01/2006
Last updated	09/13/2011 - About 15 years ago
Sole proprietor ¹	Yes
Identifiers	IL License # 036053206 IL Medicaid 036053206 Other 0002600030 BCBS Other 371026381 HL
Hospital affiliation(s)	Not Available

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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HASIN SHAH, MD – NPI #1750483657General Practice

Contact Information

Specialty

General Practice

NPI Profile & details for HASIN SHAH · (Male)

Reviews for HASIN SHAH

HASIN SHAH, MD – NPI #1750483657
General Practice