MEDICARE: DR. PARAS RASHMI 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	207W00000X	Ophthalmology Physician	036109175	IL
2	207W00000X	Ophthalmology Physician	A100573	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A100573	OTHER	CA	CA MEDICAL LICENSE
2	036109175	OTHER	IL	M.D. LICENSE

General Provider Information

NPI Number	:	1912909706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PARAS RASHMI SHAH M.D.

Provider Business Mailing Address
First Line	:	2650 RIDGE AVE STE 1223
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60201-1700
Country	:	US
Telephone Number	:	847-570-2040
Fax Number	:	847-733-5315

Provider Business Practice Location Address
First Line	:	2050 PFINGSTEN RD STE 280
Second Line	:
City	:	GLENVIEW
State	:	IL
Zip	:	60026-1324
Country	:	US
Telephone Number	:	224-251-2020
Fax Number	:	847-657-1890

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

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	05/04/2026

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