Search › Illinois › 207RH0003X
Ejaz Shah
NPI 1871041244 · on the registry since 2016 · sole proprietor
Practice
- Address
- 315 W Carpenter St
Springfield, IL 62702 - Phone
- (217) 545-8000
- Organisation at this address
- Siu Physicians & Surgeons, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 42
Additional practice sites
- 800 E Carpenter St, Springfield, IL
- 111 E 210th St, Bronx, NY
Registry record
- Primary taxonomy
- 207RH0003X
207RH0003X
- Also registered as
- 208M00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois