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Dr. Samir K Shah, MD
Cardiovascular Disease Physician in Rockford, Illinois
NPI 1427072768

Samir K Shah is a Cardiovascular Disease Physician based in Rockford, IL and is specialized in Cardiovascular Disease. Samir K Shah practices in Rockford, IL and has the professional credentials of MD. The NPI Number for Samir K Shah is 1427072768 and holds a License No. 036-063403 (Illinois).

The current practice location address for Samir K Shah is 2350 N Rockton Ave, Rockford, IL and can be reached out via phone at 815-971-2200 and via fax at 815-971-9097. You can also correspond with Samir K Shah through the mailing address at 2350 N ROCKTON AVE, ROCKFORD, IL - 61103-3600 (mailing address contact number: 815-971-2200).

Location: 2350 N Rockton Ave, Rockford, IL, 61103-3600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427072768
Provider Name
Samir K Shah
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2350 N Rockton Ave, Rockford, IL, 61103-3600
Phone Number
815-971-2200
Fax Number
815-971-9097
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036063403 05 IL
01636052 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
2350 N Rockton Ave
City
Rockford
State
Illinois
Zip
61103-3600
Phone Number
815-971-2200
Fax Number
815-971-9097
person
Provider Business Mailing Address Details
Address
2350 N Rockton Ave
City
Rockford
State
Illinois
Zip
61103-3600
Phone Number
815-971-2200
Fax Number
815-971-9097
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Adolescent Medicine
Taxonomy
207RA0000X
License No.
036-063403 (Illinois)
Definition
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
036-063403 (Illinois)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Geriatric Medicine
Taxonomy
207RG0300X
License No.
036-063403 (Illinois)
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
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