Shah, Payal

Shah, Payal is an individual health care provider with primary practice located at 3240 Oak Park Ave , Berwyn IL 60402-3428. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Shah, Payal can be contacted via phone (708) 788-6768.

Contact Information

Primary practice address
3240 Oak Park Ave Berwyn IL 60402-3428
Phone: (708) 788-6768
Fax: (708) 788-3666
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1487636908
LBN Legal business name Shah, Payal
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1487636908 NPPES
Illinois MEDICAID 9179257

Popular Providers