Most Relevant Information
Provider Data
| NPI Number: | 1003823220 |
| Provider Name: | RIAZ SHAH MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 036106955 |
Most Important Dates
| Enumeration Date: | 08/01/2006 |
| Last Updated: | 08/19/2013 |
Provider Practice Location
221 NE GLEN OAK AVE
SUITE 504
PEORIA
IL
616360001
Practice Location Phone/Fax
| Phone: | 3096725729 |
| Fax: |
Provider Mailing Location
221 NE GLEN OAK AVE
SUITE 504
PEORIA
IL
616360001
Provider Mailing Phone/Fax
| Phone: | 3096725729 |
| Fax: |
Suggested EMR
Internist EMR