DR. SUHRUD JITENDRA SHAH DMD
NPI 1790462760
Dentist in Chicago, IL

Q: What is Suhrud Shah's NPI number?

The NPI number for Suhrud Shah is 1790462760. It was assigned to this individual provider in the NPPES registry on June 30, 2023.

Q: What is Suhrud Shah's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Suhrud Shah was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 30, 2023

5249 N MOBILE AVE, CHICAGO, IL 60630(773) 456-7995 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Dr. Suhrud Jitendra Shah Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUHRUD JITENDRA SHAH DMD (NPI 1790462760) is an individual dentist in Chicago, Illinois, licensed in Illinois (019.034413) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1790462760

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. SUHRUD JITENDRA SHAHCredential: DMD

Location Address5249 N MOBILE AVEChicago, IL 60630-1009

Mailing Address5249 N Mobile AveChicago, IL 60630-1009 · (773) 456-7995

Phone(773) 456-7995

Sole ProprietorYes

Enumeration DateJune 30, 2023

NPPES CertifiedJune 30, 2023

✔ NPI 1790462760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 019.034413

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

5249 N MOBILE AVE, Chicago, IL 60630

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suhrud Shah's NPI number?

The NPI number for Suhrud Shah is 1790462760. It was assigned to this individual provider in the NPPES registry on June 30, 2023.

Where is Suhrud Shah located?

Suhrud Shah practices at 5249 N Mobile Ave, Chicago, IL 60630. The listed phone number is (773) 456-7995.

What is Suhrud Shah's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Suhrud Shah accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Suhrud Shah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Suhrud Shah was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.