person
Mrs. Sudha P Shah, MD
Obstetrics & Gynecology Physician in Rockford, Illinois
NPI 1497753511

Sudha P Shah is a Obstetrics & Gynecology Physician based in Rockford, IL. Sudha P Shah practices in Rockford, IL and has the professional credentials of MD. The NPI Number for Sudha P Shah is 1497753511 and holds a License No. 036-069064 (Illinois).

The current practice location address for Sudha P Shah is 6861 Villagreen Vw, Rockford, IL and can be reached out via phone at 815-637-6200.

Location: 6861 Villagreen Vw, Rockford, IL, 61110-0067
person
Provider Profile Details
NPI Number
1497753511
Provider Name
Sudha P Shah
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
6861 Villagreen Vw, Rockford, IL, 61110-0067
Phone Number
815-637-6200
Fax Number
Provider Enumeration Date
07/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036069064 05 IL
31792700 01 WI WISCONSIN MEDICAID
institution
Provider Business Practice Location Address Details
Address
6861 Villagreen Vw
City
State
Zip
61107-5639
Phone Number
815-637-6200
Fax Number
person
Provider Business Mailing Address Details
Address
6861 Villagreen Vw
City
State
Zip
61107-5639
Phone Number
815-637-6200
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
License No.
036-069064 (Illinois)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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