Provider Demographics
NPI:1942406558
Name:SHAH, CHIRAG MUKUND (MD)
Entity Type:Individual
Prefix:DR
First Name:CHIRAG
Middle Name:MUKUND
Last Name:SHAH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:737 N MICHIGAN AVE STE 700
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-6662
Mailing Address - Country:US
Mailing Address - Phone:312-337-6960
Mailing Address - Fax:312-337-3601
Practice Address - Street 1:737 N MICHIGAN AVE STE 700
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-6662
Practice Address - Country:US
Practice Address - Phone:312-337-6960
Practice Address - Fax:312-337-3601
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-22
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036133286207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery