MANZOOR HUSSAIN SHAH MD NPI 1811080716

NPI Information

NPI: 1811080716
Provider Name: MANZOOR HUSSAIN SHAH, MD
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
1479 RING RD
CALUMET CITY, IL
ZIP 60409
Phone: (708) 891-2181
Get Directions

Manzoor Hussain Shah, MD is a pulmonary disease internal medicine in Calumet City, IL with 52 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Manzoor Hussain Shah, MD NPI is 1811080716. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1479 RING RD
CALUMET CITY, IL
ZIP 60409
Phone: (708) 891-2181
Fax: (708) 891-2188

The NPI 1811080716 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), Power Mobility Devices.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 10/14/2014.

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	207RP1001X	Internal Medicine	Pulmonary Disease	036 049259	ILLINOIS	Yes
2	207RP1001X	Internal Medicine	Pulmonary Disease	01031445	INDIANA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100005670B	OTHER	INDIANA	PUBLIC AID
2	152280	MEDICARE ID-TYPE UNSPECIFIED	INDIANA
3	036049259	MEDICAID	ILLINOIS
4	492500	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
5	D13137	MEDICARE UPIN

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: 5/5/2024

NPI Synchronization or Removal

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