DEEP N SHAH DPM MBA NPI 1164985883

NPI Information

NPI: 1164985883
Provider Name: DEEP N SHAH, DPM, MBA
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
3333 GREEN BAY RD
NORTH CHICAGO, IL
ZIP 60064
Phone: (847) 473-4357
Get Directions

Deep N Shah, DPM, MBA is a foot and ankle surgery podiatrist in North Chicago, IL with 5 years of experience. Deep N Shah, DPM, MBA NPI is 1164985883. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2019

The provider's business location address is:

3333 GREEN BAY RD
NORTH CHICAGO, IL
ZIP 60064-037
Phone: (847) 473-4357

The NPI 1164985883 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/9/2019 and was last updated on 11/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213EP1101X	Podiatrist	Primary Podiatric Medicine	016.005976	ILLINOIS	No
2	213ER0200X	Podiatrist	Radiology	016.005976	ILLINOIS	No
3	213ES0000X	Podiatrist	Sports Medicine	016.005976	ILLINOIS	No
4	213ES0131X	Podiatrist	Foot Surgery	016.005976	ILLINOIS	No
5	213ES0103X	Podiatrist	Foot & Ankle Surgery	016.005976	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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