Shah, Birva K
Shah, Birva K is an individual health care provider with primary practice located at 10436 Southwest Hwy Suite 101, Chicago Ridge IL 60415-2282. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Shah, Birva K can be contacted via phone (708) 423-4192.Contact Information
Primary practice address
10436 Southwest Hwy Suite 101
Chicago Ridge IL 60415-2282
Phone: (708) 423-4192
Fax: (708) 952-0329
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046010543 | Illinois |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 046010543 | Illinois |
Profile Details
| NPI number | 1134481211 |
|---|---|
| LBN Legal business name | Shah, Birva K |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2012 |
| Last updated | Oct 18th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134481211 | NPPES |
| Illinois | Other | 01621679 | BLUE CROSS & BLUE SHEILD ESC # 01621679 |
| Illinois | Other | 200871680 | BLUE CROSS & BLUE SHEILD ESC # 01621679 |
| Illinois | MEDICAID | 046010543 | BLUE CROSS & BLUE SHEILD ESC # 01621679 |
| Illinois | Other | 1083684922 | BLUE CROSS & BLUE SHEILD ESC # 01621679 |
| Illinois | Other | 1700191012 | BLUE CROSS & BLUE SHEILD ESC # 01621679 |
| Illinois | Other | CK7818 | BLUE CROSS & BLUE SHEILD ESC # 01621679 |
| Illinois | Other | 1083684922 | BLUE CROSS & BLUE SHEILD ESC # 01621679 |
| Illinois | Other | 12385422 | BLUE CROSS & BLUE SHEILD ESC # 01621679 |
| Illinois | Other | 1699802421 | BLUE CROSS & BLUE SHEILD ESC # 01621679 |
| Illinois | Other | 502720062 | BLUE CROSS & BLUE SHEILD ESC # 01621679 |
| Illinois | Other | 14D2054175 | BLUE CROSS & BLUE SHEILD ESC # 01621679 |
| Illinois | Other | 253350 | BLUE CROSS & BLUE SHEILD ESC # 01621679 |
| Illinois | Other | 253350 | BLUE CROSS & BLUE SHEILD ESC # 01621679 |
| Illinois | Other | 6180260001 | BLUE CROSS & BLUE SHEILD ESC # 01621679 |
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