Dr. Payal K Shah
Dentist Dental Public Health Dentist - General Practice
330 N Jefferson St Apt 1906
Chicago
, Illinois 60661-1322
Dr. Payal K Shah
Dentist Dental Public Health Dentist - General Practice
330 N Jefferson St Apt 1906
Chicago
, Illinois 60661-1322
(224) 805-7671
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About
Features
Specialties
- Dentist
- Dental Public Health
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Payal K Shah
- 330 N Jefferson St Apt 1906
- Chicago, IL
- Zip : 60661-1322
- Phone : (224) 805-7671
Second Address
- Dr. Payal K Shah
- 330 N Jefferson St Apt 1906
- Chicago, IL
- Zip : 60661-1322
- Phone : (224) 805-7671
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 122300000X | Dentist | 019.032634 | IL |
| N | 1223D0001X | Dental Public Health | 019.032634 | IL |
| N | 1223G0001X | General Practice | 019.032634 | IL |
| N | 213EG0000X | General Practice | 019.032634 | IL |
National Provider Identifier
| NPI | 1235756735 |
|---|---|
| Provider Name | Dr. Payal K Shah |
| First Address | Chicago, IL 60661-1322 |
| Second Address | Chicago, IL 60661-1322 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2020 |
| Last Update Date | 30/06/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.