BIRAJ M. SHAH


Address: 1900 W Polk St Ste 612, Chicago, IL 60612
Phone: 3128643202

BIRAJ M. SHAH (NPI# 1669746418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669746418
Entity Type Individual
Full Name BIRAJ M. SHAH
Credential D.D.S., M.D.
Practice Address 1900 W Polk St Ste 612
Chicago
IL 60612
Mailing Address 1900 W Polk St Ste 612
Chicago
IL 60612-3723
Practice Telephone 3128643202
Mailing Telephone 3128643202
Enumeration Date 2012-02-25
Last Update Date 2020-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
019.031724 IL Dental Providers
Y 204E00000X Oral & Maxillofacial Surgery 036-147405 IL Allopathic & Osteopathic Physicians

Other Providers BIRAJ SHAH

NPI Name Taxonomy Address Enumeration
1699386888 Biraj B Shah Nurse Practitioner 14611 Snowshill Dr, Frisco, TX 75035-7233 2020-08-12

Office Location

Street Address 1900 W POLK ST STE 612
City CHICAGO
State IL
Zip Code 60612

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144839739 Sandhya Shri Kannayiram Internal Medicine 1901w Harrison Street, Chicago, IL 60612 2020-07-29
1568080174 Nastaran Ordoyo Haghani Rad Student in an Organized Health Care Education/Training Program 1950 W. Polk Street, Room 6203, Chicago, IL 60612 2020-07-09
1669090403 Marianne Gagnon-konamna Student in an Organized Health Care Education/Training Program 1950 West Polk Street, Chicago, IL 60612 2020-07-08
1922625672 Tanya Montgomery Nee Brown Pediatrics 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 2020-06-29
1124643028 Ashley Swan Dentist 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 2020-06-16
1831711381 Baillie Anne Bronner Obstetrics & Gynecology 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 2020-05-07
1154942449 Keisha Davell Cole Case Manager/Care Coordinator 612 S Western Ave Unit 1, Chicago, IL 60612 2020-04-28
1275153777 Isac Lim Student in an Organized Health Care Education/Training Program 1234 S. Wells, Chicago, IL 60612 2020-04-24
1578183414 Zachary Belden Student in an Organized Health Care Education/Training Program Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 2020-04-21
1548880560 Christina Nunez Student in an Organized Health Care Education/Training Program 801 S. Paulina Street, M/c 850, Chicago, IL 60612 2020-04-20
Find all providers in zip 60612

Taxonomy Information

Taxonomy Code 204E00000X
Grouping Allopathic & Osteopathic Physicians
Classification Oral & Maxillofacial Surgery

Taxonomy Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821652736 Oral and Maxilloficial Head and Neck Associates LLC Oral & Maxillofacial Surgery 811 West Wellington Avenue, Attention: Mohammed Qaisi, Md., Dmd., Chicago, IL 60657-5123 2019-04-25
1295840304 Khaled Abughazaleh Oral & Maxillofacial Surgery 65 E Scott St Apt 9a, Chicago, IL 60610-5274 2006-08-20
1518528165 Ali Al-qudsi Oral & Maxillofacial Surgery 1901 W Harrison St, Chicago, IL 60612-3714 2019-06-25
1669033445 Brett Quinto Oral & Maxillofacial Surgery 1901 W Harrison St, Chicago, IL 60612-3714 2019-06-24
1508144585 James Anthony Murphy Oral & Maxillofacial Surgery 1969 W Ogden Ave, Chicago, IL 60612-3765 2011-07-25
1326338948 Michael David Han Oral & Maxillofacial Surgery 801 S Paulina St, Room 110 (mc 835), Chicago, IL 60612-7210 2011-04-15
1881821445 Board of Trustees of The University of Illinois Oral & Maxillofacial Surgery 840 S Wood St, Mc 958, Chicago, IL 60612-4325 2009-06-22
1225291347 Michael Robert Markiewicz Oral & Maxillofacial Surgery 801 S Paulina St, Chicago, IL 60612-7210 2008-07-09
1992883367 Gregory Paul Thomas Oral & Maxillofacial Surgery 676 N Saint Clair St, Suite 2280, Chicago, IL 60611-2927 2006-11-01
1659486751 Mark B Jacob Oral & Maxillofacial Surgery 1740 W Taylor St, Chicago, IL 60612-7232 2006-08-20
Find all providers in CHICAGO

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City CHICAGO
Zip Code 60612

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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