IndividualActive
Subir Shah, D.O.
NPI 1194042242 · Adult Congenital Heart Disease Physician · Maywood, IL
Provider details
- NPI number
- 1194042242
- Entity type
- Individual
- Primary specialty
- Adult Congenital Heart Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 036140740 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (708) 216-9000
Approximate (ZIP-level) locationGet directions
Mailing address
2160 S 1st Ave
Maywood, IL 60153-3328
Registry dates
- Enumerated
- 2010-04-29
- Last updated
- 2026-04-23
- Certified
- 2026-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.