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

Dr. Yogendra Ambalal Shah, MD, SC

Individual provider Specialist · NPI 1376667253

Dr. Yogendra Ambalal Shah, MD, SC is a Specialist in Granite City, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2007
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

3165 Myrtle Ave
Granite City, IL 62040-5012
Phone: (618) 451-7717
Fax: (618) 451-7780
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 036048989 (IL)

Record details

NPI number1376667253
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , SC
Sole proprietorYes
NPI enumeratedMarch 18, 2007
Last updated in NPPESJuly 8, 2007

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