Shah, Biraj M.

Shah, Biraj M. is an individual health care provider with primary practice located at 1900 W Polk St Ste 612 , Chicago IL 60612. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Shah, Biraj M. can be contacted via phone (312) 864-3202.

Contact Information

Primary practice address
1900 W Polk St Ste 612 Chicago IL 60612
Phone: (312) 864-3202
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 019.031724 Illinois
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 036-147405 Illinois

Profile Details

NPI number 1669746418
LBN Legal business name Shah, Biraj M.
Credentials D.D.S., M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2012
Last updated Jan 4th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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