Provider Demographics
NPI:1306282439
Name:SHAH, NIRAV N (MD)
Entity type:Individual
Prefix:DR
First Name:NIRAV
Middle Name:N
Last Name:SHAH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9600 GROSS POINT ROAD
Mailing Address - Street 2:DEPARTMENT OF ANESTHESIA
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076
Mailing Address - Country:US
Mailing Address - Phone:847-933-6974
Mailing Address - Fax:847-933-3829
Practice Address - Street 1:9600 GROSS POINT ROAD
Practice Address - Street 2:DEPARTMENT OF ANESTHESIA
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076
Practice Address - Country:US
Practice Address - Phone:847-933-6974
Practice Address - Fax:847-933-3829
Is Sole Proprietor?:No
Enumeration Date:2013-05-15
Last Update Date:2018-10-29
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Provider Licenses
StateLicense IDTaxonomies
IL036144944207L00000X, 207LP2900X
IL036.144944207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology