Provider Demographics
NPI:1689630071
Name:SHAH, VARSHA J (MD)
Entity Type:Individual
Prefix:DR
First Name:VARSHA
Middle Name:J
Last Name:SHAH
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Gender:F
Credentials:MD
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Mailing Address - Street 1:2340 S HIGHLAND AVE
Mailing Address - Street 2:150
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-5371
Mailing Address - Country:US
Mailing Address - Phone:630-932-2015
Mailing Address - Fax:630-932-1589
Practice Address - Street 1:2340 S HIGHLAND AVE
Practice Address - Street 2:150
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-5371
Practice Address - Country:US
Practice Address - Phone:630-932-2015
Practice Address - Fax:630-932-1589
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-25
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
IL03607762208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics