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Mr. Chirag G. Shah, MD
Student in an Organized Health Care Education/Training Program in Brookfield, Wisconsin
NPI 1033305941

Chirag G. Shah is a Student in an Organized Health Care Education/Training Program based in Monroe, WI. Chirag G. Shah practices in Brookfield, WI and has the professional credentials of MD. The NPI Number for Chirag G. Shah is 1033305941 and holds a License No. 54390-20 (Wisconsin).

The current practice location address for Chirag G. Shah is 675 N Brookfield Rd Ste 205, Brookfield, WI and can be reached out via phone at 262-235-3311.

Location: 675 N Brookfield Rd Ste 205, Brookfield, WI, 53566-1569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033305941
Provider Name
Chirag G. Shah
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
675 N Brookfield Rd Ste 205, Brookfield, WI, 53566-1569
Phone Number
262-235-3311
Fax Number
Provider Enumeration Date
09/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100023400 05 WI
1033305941 01 WI NPI
institution
Provider Business Practice Location Address Details
Address
675 N Brookfield Rd Ste 205
City
Brookfield
State
Wisconsin
Zip
53045-5868
Phone Number
262-235-3311
Fax Number
person
Provider Business Mailing Address Details
Address
675 N Brookfield Rd Ste 205
City
Brookfield
State
Wisconsin
Zip
53045-5868
Phone Number
262-235-3311
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
2084P0804X
License No.
FE0041082-0027 (Tennessee)
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
54390-20 (Wisconsin)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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