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NPI Code Detail

MEDICARE: KRUPA MAHESH SHAH

MEDICARE: KRUPA MAHESH SHAH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician036139908IL

General Provider Information

NPI Number : 1174968846
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRUPA MAHESH SHAH
Provider Business Mailing Address
First Line : 900 RAND RD STE 120
Second Line :
City : DES PLAINES
State : IL
Zip : 60016-2359
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 900 RAND RD STE 120
Second Line :
City : DES PLAINES
State : IL
Zip : 60016-2359
Country : US
Telephone Number : 312-767-3244
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2013
Last Update Date : 04/08/2026

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Directions to “ KRUPA MAHESH SHAH ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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