PULIN SHAH

PEORIA, IL
NPI1811195266
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  AS3581875-320)
Additional Taxonomies208000000X Pediatrics
(Licence: IL  AS3581875-320)
Enumeration Date2007-07-06
Last Update Date2007-07-08
Business Address
Dr. PULIN SHAH M.D.
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-355-3863
Mailing Address
Dr. PULIN SHAH M.D.
6021 N IMPERIAL DR #138
PEORIA, IL 61614-3908
Phone number: 217-240-6092