Provider Demographics
NPI:1518246040
Name:SHAH, CHIRAG (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHIRAG
Middle Name:
Last Name:SHAH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 BATTERY ST
Mailing Address - Street 2:#602
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94111-2310
Mailing Address - Country:US
Mailing Address - Phone:773-633-1774
Mailing Address - Fax:
Practice Address - Street 1:550 BATTERY ST
Practice Address - Street 2:#602
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111-2310
Practice Address - Country:US
Practice Address - Phone:773-633-1774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-15
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.289746183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist