MEDICARE: DR. CHIRAG SHAH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP3000X	Pediatric Anesthesiology Physician	25MA08955100	NJ
2	207L00000X	Anesthesiology Physician	25MA08955100	NJ

General Provider Information

NPI Number	:	1396986881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHIRAG SHAH MD

Provider Business Mailing Address
First Line	:	2 2ND ST APT 1205
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-7031
Country	:	US
Telephone Number	:	201-913-3167
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 W PLEASANT AVE STE 334
Second Line	:
City	:	MAYWOOD
State	:	NJ
Zip	:	07607-1335
Country	:	US
Telephone Number	:	201-527-6800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2009
Last Update Date	:	04/24/2025

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Directions to “ DR. CHIRAG SHAH MD” Practice Location

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