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NPI Code Detail

MEDICARE: DR. AROOJ FATIMAH SHAH MD

MEDICARE: DR. AROOJ FATIMAH SHAH MD
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
1207RE0101XEndocrinology, Diabetes & Metabolism Physician125.083740IL

General Provider Information

NPI Number : 1982289757
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AROOJ FATIMAH SHAH MD
Provider Business Mailing Address
First Line : 8900 VAN WYCK EXPY
Second Line :
City : RICHMOND HILL
State : NY
Zip : 11418-2832
Country : US
Telephone Number : 571-447-1955
Fax Number :
Provider Business Practice Location Address
First Line : 801 N RUTLEDGE ST
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62702-4933
Country : US
Telephone Number : 217-545-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2021
Last Update Date : 08/29/2024

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