Individual
MR. CHIRAG G. SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
675 N BROOKFIELD RD STE 205, BROOKFIELD, WI 53045-5868
(262) 235-3311
Mailing address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-1000
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
54390-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
FE0041082-0027
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100023400
—
WI
01
—
1033305941
NPI
WI
Enumeration date
09/25/2007
Last updated
01/10/2024
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