| Doctor Name: | BIRVA K SHAH |
| NPI Number: | 1134481211 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | O.D. |
| License Number: | 046010543 |
| Business Practice Address: | 10436 Southwest Hwy Suite 101 Chicago Ridge, IL - 604152282 |
| Business Phone Number: | 7084234192 |
| Business Fax Number: | 7089520329 |
| Mailing Address: | 4684 Dept, CAROL STREAM |
| State: | IL |
| Postal Code: | 601224684 |
| Phone Number: | 7084234192 |
| Fax Number: | 7089520329 |
| NPI Enumeration Date: | 06/13/2012 |
| NPI Last Update Date: | 10/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WP0200X |
| License Number: | 046010543 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |