# DR. JALAAL SHAH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1619240595
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 036-151986 | IL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | 20A15237 | CA | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | IL | — |

## Other

- **Enumeration date:** 02/22/2012
- **Last updated:** 11/11/2020