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Biraj Shah, D.D.S., M.D. — NPI 1669746418, Chicago, IL | NPI Central

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NPI 1669746418

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Biraj Shah, D.D.S., M.D.

NPI 1669746418 · Oral & Maxillofacial Surgery (D.M.D.) · Chicago, IL

Provider details

NPI number: 1669746418
Entity type: Individual
Primary specialty: Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
Credential: D.D.S., M.D.
Sex: Male
Sole proprietor: No
License: 019.031724 (IL)

Specialties & taxonomies

Oral & Maxillofacial Surgery (D.M.D.)Primary204E00000XLicense 036-147405 (IL)
Allopathic & Osteopathic Physicians
Oral and Maxillofacial Surgery (Dentist)1223S0112XLicense 019.031724 (IL)
Dental Providers
Oral and Maxillofacial Surgery (Dentist)1223S0112XLicense 036147405 (IL)
Dental Providers

Practice location

1900 W Polk St Ste 612

Chicago, IL 60612

Phone: (312) 864-3202

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

1900 W Polk St Ste 612

Chicago, IL 60612-3723

Additional practice locations (2)

676 N Saint Clair St Ste 520
Chicago, IL 60611-2982
Phone: (312) 926-5992
Fax: (312) 695-4303
811 W Wellington Ave
Chicago, IL 60657-5123
Phone: (773) 245-5253

Registry dates

Enumerated: 2012-02-25
Last updated: 2026-03-03
Certified: 2026-03-03

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.