Individual
DR. SHRIRAJ CHANDRAKANT SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 DIAMOND HILL RD STE 18, WOONSOCKET, RI 02895-1554
(401) 470-7116
(401) 386-2462
Mailing address
30 W MONROE ST STE 1200, CHICAGO, IL 60603-2420
(312) 733-9730
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
192319
NY
207Q00000X
Family Medicine Physician
Primary
22425
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01422013
—
NY
Enumeration date
12/21/2005
Last updated
11/14/2022
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