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

Dr. Pankaj S Shah, MD

Individual provider Specialist · NPI 1629024815

Dr. Pankaj S Shah, MD is a Specialist in Fairview Heights, Illinois. Practices as a sole proprietor. Licensed in Illinois.

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

10035 Lincoln Trl
Fairview Heights, IL 62208-1847
Phone: (618) 397-7700
Fax: (618) 397-7735
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X (IL)

Record details

NPI number1629024815
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 26, 2006
Last updated in NPPESOctober 9, 2007

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