National Provider Identifier Database

JITENDRA J SHAH, MD – NPI #1619061827
Pediatric Cardiology

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.


Contact Information

JITENDRA J SHAH, MD
420 NE GLEN OAK AVE
SUITE 304
PEORIA, IL61603-3105
Phone: 309-655-3453
Fax: 309-655-2938
Website:
Specialty Taxonomy Code
* Pediatric Cardiology 2080P0202X

* Indicates primary specialty

NPI Profile & details for JITENDRA J SHAH

NPI Number 1619061827
Credentials MD
Entity Individual
Enumeration date 10/03/2006
Last updated 08/28/2012 - About 14 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 036-053972
  • IL Medicaid: 036053972
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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