Provider Demographics
NPI:1235386160
Name:SHAH, DIPAL CHOKSHI (DO)
Entity Type:Individual
Prefix:
First Name:DIPAL
Middle Name:CHOKSHI
Last Name:SHAH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:DIPAL
Other - Middle Name:
Other - Last Name:CHOKSHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1051 W RAND RD STE 210
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-2315
Mailing Address - Country:US
Mailing Address - Phone:847-725-8401
Mailing Address - Fax:847-454-2236
Practice Address - Street 1:1051 W RAND RD STE 210
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-2315
Practice Address - Country:US
Practice Address - Phone:847-725-8401
Practice Address - Fax:847-454-2236
Is Sole Proprietor?:No
Enumeration Date:2008-08-21
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125-051900207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine