MR. KUMUDCHANDRA S SHAH MD
NPI 1891862959
Obstetrics & Gynecology in Hazel Crest, IL

Q: What is Kumudchandra Shah's NPI number?

The NPI number for Kumudchandra Shah is 1891862959. It was assigned to this individual provider in the NPPES registry on November 30, 2006. The provider is also known as Kumud S Shah MD.

Q: What is Kumudchandra Shah's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Kumudchandra Shah was last updated on January 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 November 30, 2006

17680 S KEDZIE AVE, SUITE 201, HAZEL CREST, IL 60429(708) 799-5420(708) 799-4093 Get Directions Write a Review

NPPES record last updated: January 24, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mr. Kumudchandra S Shah Md NPPES

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

MR. KUMUDCHANDRA S SHAH MD (NPI 1891862959) is an individual obstetrics & gynecology provider in Hazel Crest, Illinois, licensed in Illinois (036048096) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1891862959

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameMR. KUMUDCHANDRA S SHAHCredential: MD

Location Address17680 S KEDZIE AVE, SUITE 201Hazel Crest, IL 60429-2043

Mailing Address17680 S Kedzie Ave, Suite 201Hazel Crest, IL 60429-2043 · (708) 799-5420 · Fax (708) 799-4093

Phone(708) 799-5420

Fax(708) 799-4093

Sole ProprietorNo

Enumeration DateNovember 30, 2006

Last NPPES UpdateJanuary 24, 2012

✔ NPI 1891862959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in IL · 036048096

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

17680 S KEDZIE AVE, Hazel Crest, IL 60429

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Other Names 1

Other Name (5)Kumud S Shah Md

Other Identifiers 4

Medicare UPIND12565

Medicaid036048096IL

Other21605584IL · Blue Cross Blue Shield

Medicare ID-Type Unspecified470830IL

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 Kumudchandra Shah's NPI number?

The NPI number for Kumudchandra Shah is 1891862959. It was assigned to this individual provider in the NPPES registry on November 30, 2006. The provider is also known as Kumud S Shah MD.

Where is Kumudchandra Shah located?

Kumudchandra Shah practices at 17680 S Kedzie Ave Suite 201, Hazel Crest, IL 60429. The listed phone number is (708) 799-5420.

What is Kumudchandra Shah's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Kumudchandra Shah was last updated on January 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.