Shah, Chirag G.
Shah, Chirag G. is an individual health care provider with primary practice located at 675 N Brookfield Rd Ste 205 , Brookfield WI 53045-5868. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Shah, Chirag G. can be contacted via phone (262) 235-3311.Contact Information
Primary practice address
675 N Brookfield Rd Ste 205
Brookfield WI 53045-5868
Phone: (262) 235-3311
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 54390-20 | Wisconsin |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | FE0041082-0027 | Tennessee |
Profile Details
NPI number | 1033305941 |
---|---|
LBN Legal business name | Shah, Chirag G. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 25th, 2007 |
Last updated | Jan 10th, 2024 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033305941 | NPPES |
Wisconsin | MEDICAID | 100023400 | |
Wisconsin | Other | 1033305941 |
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