Shah, Fawad J

Shah, Fawad J is an individual health care provider with primary practice located at 2380 S Elmhurst Rd , Mount Prospect IL 60056-5805. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Shah, Fawad J can be contacted via phone (847) 493-7392.

Contact Information

Primary practice address
2380 S Elmhurst Rd Mount Prospect IL 60056-5805
Phone: (847) 493-7392
Fax: (847) 627-4178
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019027741 Illinois
Dental Providers / General Practice 1223G0001X 019027741 Illinois
Dental Providers / General Practice 1223G0001X D7933 Arizona

Profile Details

NPI number 1356506364
LBN Legal business name Shah, Fawad J
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2008
Last updated Sep 17th, 2012 - about 12 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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