IndividualActive
Maulin Shah, D.O.
NPI 1902149982 · Family Medicine Physician · Dwight, IL
Provider details
- NPI number
- 1902149982
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 036141076 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
107 Watters Dr
Dwight, IL 60420
Phone: (815) 584-4334
Fax: (815) 584-4364
Approximate (ZIP-level) locationGet directions
Mailing address
107 Watters Dr
Dwight, IL 60420-1280
Additional practice locations (1)
- 1912 Hayes AveSandusky, OH 44870-4736Phone: (419) 557-7189Fax: (419) 557-7109
Registry dates
- Enumerated
- 2013-03-28
- Last updated
- 2019-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.