Nishith S Shah
Medical Specialty
Professional ID
- NPI: 1114940335
- PECOS ID: 1254304090
- Enrollment ID: I20040819000394
- Credential(MD, DO, DPM): MD
- Medical School: University Of Illinois At Chicago Health Science Center
- Medical School Graduation Year: 2000
Hospital Service
- Hospital CCN1: 030038
- Business Name (LBN)1: Scottsdale Osborn Medical Center
Medical Practices
- Organization Name: Arizona Oral Facial And Implant Surgery Llc
- Group Practice ID assigned by PECOS: 0648243485
- Number of Group Practice member: 0
Location
- Address1: 2450 W Ray Rd
- Address2: Suite 1
- City: Chandler
- State: Arizona
- Zip Code: 85224
- Phone Number: (480)814-9500
Medicare
- Medicare Assignment: Maybe
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):