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

Harendra P. Shah, PA-C

Individual provider Medical Physician Assistant · NPI 1306847207

Harendra P. Shah, PA-C is a Medical Physician Assistant in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

6349 N Fairfield Avenue Prism Medical Ctr
Chicago, IL 60659-1705
Phone: (773) 262-1300
Fax: (773) 262-1184
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 085-001700 (IL)

Record details

NPI number1306847207
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 2, 2005
Last updated in NPPESOctober 25, 2024
Certification dateOctober 22, 2024

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