DR. PANKAJ S SHAH M.D.
NPI 1629024815
Specialist in Fairview Heights, IL

Q: What is Pankaj Shah's NPI number?

The NPI number for Pankaj Shah is 1629024815. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Q: What is Pankaj Shah's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Pankaj Shah was last updated on October 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 26, 2006

10035 LINCOLN TRL, FAIRVIEW HEIGHTS, IL 62208(618) 397-7700(618) 397-7735 Get Directions Write a Review

NPPES record last updated: October 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Pankaj S Shah M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PANKAJ S SHAH M.D. (NPI 1629024815) is an individual specialist in Fairview Heights, Illinois and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1629024815

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. PANKAJ S SHAHCredential: M.D.

Location Address10035 LINCOLN TRLFairview Heights, IL 62208-1847

Mailing Address10035 Lincoln TrlFairview Heights, IL 62208-1847 · (618) 397-7700 · Fax (618) 397-7735

Phone(618) 397-7700

Fax(618) 397-7735

Sole ProprietorYes

Enumeration DateMay 26, 2006

Last NPPES UpdateOctober 9, 2007

✔ NPI 1629024815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

10035 LINCOLN TRL, Fairview Heights, IL 62208

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Other Identifiers 3

Medicare ID-Type Unspecified493181IL

Medicare UPIND13159IL

Medicare PINK37711IL

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARDIO DIAGNOSTIC SYSTEMS, S.C.

Internal Medicine (Cardiovascular Disease)

10035 LINCOLN TRL
FAIRVIEW HEIGHTS, IL 62208

St. Clair County (618) 397-7300

CARDIO DIAGNOSTIC SYSTEMS, S.C.

Specialist/Technologist Cardiovascular

10035 LINCOLN TRL
FAIRVIEW HEIGHTS, IL 62208

St. Clair County (618) 397-7300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pankaj Shah's NPI number?

The NPI number for Pankaj Shah is 1629024815. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Pankaj Shah located?

Pankaj Shah practices at 10035 Lincoln Trl, Fairview Heights, IL 62208. The listed phone number is (618) 397-7700.

What is Pankaj Shah's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Pankaj Shah was last updated on October 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.