Shah, Bansari

Shah, Bansari is an individual health care provider with primary practice located at 2124 Ogden Avenue Suite 104, Aurora IL 60504. She recently has 2 registered licenses in different health care specialties including Dental Providers / Periodontics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Periodontics is her primary health care specialty. Shah, Bansari can be contacted via phone (630) 585-6100.

Contact Information

Primary practice address
2124 Ogden Avenue Suite 104 Aurora IL 60504
Phone: (630) 585-6100
Fax: (630) 778-2070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 021.003210 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 10355 Kentucky

Profile Details

NPI number 1891328837
LBN Legal business name Shah, Bansari
Credentials B.D.S., M.D.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2020
Last updated Dec 20th, 2023 - about last year

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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