Provider Demographics
NPI:1174550818
Name:SHAH, CHIRAG S (MD)
Entity type:Individual
Prefix:DR
First Name:CHIRAG
Middle Name:S
Last Name:SHAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1 CARDIFF CT
Mailing Address - Street 2:
Mailing Address - City:WEST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08550-3268
Mailing Address - Country:US
Mailing Address - Phone:609-750-0875
Mailing Address - Fax:
Practice Address - Street 1:2999 PRINCETON PIKE
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-3261
Practice Address - Country:US
Practice Address - Phone:609-883-3000
Practice Address - Fax:609-423-0095
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-27
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA07384800207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ057880Medicare ID - Type Unspecified
NJH60600Medicare UPIN