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Dr. Jitendra J Shah, MD
Pediatric Cardiology Physician in Peoria, Illinois
NPI 1619061827

Jitendra J Shah is a Pediatric Cardiology Physician based in Peoria, IL and is specialized in Pediatric Cardiology. Jitendra J Shah practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Jitendra J Shah is 1619061827 and holds a License No. 036-053972 (Illinois).

The current practice location address for Jitendra J Shah is 420 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-655-3453 and via fax at 309-655-2938.

Location: 420 Ne Glen Oak Ave, Peoria, IL, 61603-3105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619061827
Provider Name
Jitendra J Shah
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
420 Ne Glen Oak Ave, Peoria, IL, 61603-3105
Phone Number
309-655-3453
Fax Number
309-655-2938
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036053972 05 IL
institution
Provider Business Practice Location Address Details
Address
420 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61603-3105
Phone Number
309-655-3453
Fax Number
309-655-2938
person
Provider Business Mailing Address Details
Address
420 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61603-3105
Phone Number
309-655-3453
Fax Number
309-655-2938
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Cardiology
Taxonomy
2080P0202X
License No.
036-053972 (Illinois)
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
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