IndividualActive
Raj Shah, M.D.
NPI 1053440503 · Geriatric Medicine (Family Medicine) Physician · Chicago, IL
Provider details
- NPI number
- 1053440503
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036101045 (IL)
Practice location
600 S Paulina St
Suite 130
Chicago, IL 60612-3806
Phone: (312) 942-3333
Fax: (312) 942-4154
Mailing address
600 S Paulina St
Chicago, IL 60612-3806
Registry dates
- Enumerated
- 2007-03-02
- Last updated
- 2025-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.