Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUHRUD JITENDRA SHAH, DMD
Active Sole ProprietorDR. SUHRUD JITENDRA SHAH, DMD is a Dentist healthcare provider located in CHICAGO, Illinois. NPI 1790462760 is currently active in the NPPES registry. Verify at CMS.
Dentist · CHICAGO, IL
Registration Details
- NPI Number
- 1790462760
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2023 (3.1263703857146 yrs)
- Last Updated
- Jun 30, 2023
- License
-
019.034413 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5249 N MOBILE AVECHICAGO, IL, 606301009Browse IL providers · Browse ZIP 60630
- Phone
- 7734567995
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| MARK SAWYER | DDS | 1891798708 |
| DR. DAVID MICHAEL PREBLE | DDS | 1013910637 |
| DR. WILLIAM JOSEPH FRERICKS | DDS | 1427050608 |
| DR. KENNETH A KREBS | D.M.D. | 1629070743 |
| DR. DIMITRI J. HARALAMPOPOULOS | DDS | 1144221219 |
| NANCY LEE GOODARE-ROSENTHAL | DDS, MS | 1316935232 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.