NPI 1003107772
Prit Shah
Practice location
- Address
- 350 N Wall St, Kankakee, IL 60901-2901
- Phone
- (617) 638-6500
- Fax
- (815) 933-1671
- Mailing address
- 68 S Service Rd Suite 350, Melville, NY 11747-2354
Registered specialties
Anesthesiology Physician
Primary
Registry record
- NPI
- 1003107772
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 28 Apr 2011
- Record last updated
- 31 Aug 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.