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Individual
BIRAJ M. SHAH
Active
Individual
BIRAJ M. SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
019.031724
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
036147405
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
036-147405
IL
Other
Enumeration date
02/25/2012
Last updated
03/03/2026
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