Individual
DR. BIREN SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6090 STRATHMOOR DR STE 6, ROCKFORD, IL 61107-5200
(815) 282-8145
(815) 282-2602
Mailing address
6090 STRATHMOOR DR, STE 6, ROCKFORD, IL 61107-5200
(815) 282-8145
(815) 282-2602
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016.005692
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO 3727
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
04/16/2015
Last updated
02/26/2025
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