MEDICARE: DR. UDAY SHAH M.D.

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
1	207RC0000X	Cardiovascular Disease Physician	036057749	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730107715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. UDAY SHAH M.D.

Provider Business Mailing Address
First Line	:	9133 S STONY ISLAND AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60617-3512
Country	:	US
Telephone Number	:	773-221-4645
Fax Number	:	773-221-4849

Provider Business Practice Location Address
First Line	:	9133 S STONY ISLAND AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60617-3512
Country	:	US
Telephone Number	:	773-221-4645
Fax Number	:	773-221-4849

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	09/30/2011

Similar Medicare Providers

1285635094 — 200 PHARMACY INC
Practice Location Address:

9133 S STONY ISLAND AVE
CHICAGO, IL
60617-3512

Practice Phone: 773-374-4550
Practice Fax: 773-374-4660

1871671248 — DR. HERMAN LEO MORGAN M.D.
Practice Location Address:

9133 S STONY ISLAND AVE
CHICAGO, IL
60617-3512

Practice Phone: 773-933-5511
Practice Fax: 773-933-5589

1033263371 — ADEEBUR RAHMAN MD SC
Practice Location Address:

9133 S STONY ISLAND AVE
CHICAGO, IL
60617-3512

Practice Phone: 773-375-3911
Practice Fax: 847-375-2334

1861538712 — MR. IJAZ AHMAD M.D.
Practice Location Address:

9133 S STONY ISLAND AVE
CHICAGO, IL
60617-3512

Practice Phone: 773-375-3312
Practice Fax: 773-375-2334

1851562300 — MAHONEY HOME HEALTHCARE SERVICES INC.
Practice Location Address:

9133 S STONY ISLAND AVE , SUITE 2
CHICAGO, IL
60617-3512

Practice Phone: 773-375-9300
Practice Fax: 773-375-9337

1861795486 — FAMILY CARE PARTNERS INC
Practice Location Address:

9133 S STONY ISLAND AVE STE 1
CHICAGO, IL
60617-3512

Practice Phone: 773-375-3312
Practice Fax: 773-375-2334

Directions to “ DR. UDAY SHAH M.D.” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.