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Dr. Yogendra A. Shah, Md. Sc
Specialist in Granite City, Illinois
NPI 1386907707

Dr. Yogendra A. Shah, Md. Sc is a Specialist based in Granite City, IL. Dr. Yogendra A. Shah, Md. Sc practices in Granite City, IL. The NPI Number for Dr. Yogendra A. Shah, Md. Sc is 1386907707 and holds a License No. 036048989 (Illinois).

The current practice location address for Dr. Yogendra A. Shah, Md. Sc is 3165 Myrtle Ave, Granite City, IL and can be reached out via phone at 618-451-7717 and via fax at 618-451-7780.

Location: 3165 Myrtle Ave, Granite City, IL, 62040-5012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386907707
Provider Name
Dr. Yogendra A. Shah, Md. Sc
Credential
Provider Entity Type
Organization
Address
3165 Myrtle Ave, Granite City, IL, 62040-5012
Phone Number
618-451-7717
Fax Number
618-451-7780
Provider Enumeration Date
06/20/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036048989 05 IL
institution
Provider Business Practice Location Address Details
Address
3165 Myrtle Ave
City
Granite City
State
Illinois
Zip
62040-5012
Phone Number
618-451-7717
Fax Number
618-451-7780
person
Provider Business Mailing Address Details
Address
3165 Myrtle Ave
City
Granite City
State
Illinois
Zip
62040-5012
Phone Number
618-451-7717
Fax Number
618-451-7780
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036048989 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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