Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jitendra J Shah, MD

Individual provider Pediatric Cardiology Physician · NPI 1619061827

Dr. Jitendra J Shah, MD is a Pediatric Cardiology Physician in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

420 NE Glen Oak Ave Ste 304
Peoria, IL 61603-3105
Phone: (309) 655-3453
Fax: (309) 655-2938
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X · Licence 036-053972 (IL)

Record details

NPI number1619061827
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESAugust 28, 2012

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