National Provider Identifier Database

NISH S SHAH, MD – NPI #1114940335
Oral & Maxillofacial Surgery


Contact Information

NISH S SHAH, MD
2450 W RAY RD
STE 1
CHANDLER, AZ85224
Phone: 480-814-9500
Fax: 480-814-9501
Website:
Specialty Taxonomy Code
* Oral & Maxillofacial Surgery 204E00000X

* Indicates primary specialty

NPI Profile & details for NISH S SHAH

NPI Number 1114940335
Credentials MD
Entity Individual
Enumeration date 07/26/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • AZ License #: 31035
  • AZ Medicaid: 786600
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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