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Pratish Ajay Shah, MD
Diagnostic Radiology Physician in Springfield, Illinois
NPI 1104142512

Pratish Ajay Shah is a Diagnostic Radiology Physician based in Springfield, IL and is specialized in Diagnostic Radiology. Pratish Ajay Shah practices in Springfield, IL and has the professional credentials of MD. The NPI Number for Pratish Ajay Shah is 1104142512 and holds a License No. 2020-02657 (Illinois).

The current practice location address for Pratish Ajay Shah is 1025 S 6Th St, Springfield, IL and can be reached out via phone at 217-528-7541. You can also correspond with Pratish Ajay Shah through the mailing address at PO BOX 19248, SPRINGFIELD, IL - 62794-9248 (mailing address contact number: 217-528-7541).

Location: 1025 S 6Th St, Springfield, IL, 62794-9248
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104142512
Provider Name
Pratish Ajay Shah
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1025 S 6Th St, Springfield, IL, 62794-9248
Phone Number
217-528-7541
Fax Number
Provider Enumeration Date
04/09/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1025 S 6Th St
City
Springfield
State
Illinois
Zip
62703-2499
Phone Number
217-528-7541
Fax Number
person
Provider Business Mailing Address Details
Address
1025 S 6Th St
City
Springfield
State
Illinois
Zip
62703-2499
Phone Number
217-528-7541
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
2020-02657 (North Carolina)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
2020-02657 (North Carolina)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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