Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Nish S Shah, MD

Individual provider Oral & Maxillofacial Surgery (D.M.D.) · NPI 1114940335

Dr. Nish S Shah, MD is a Maxillofacial Surgery in Chandler, Arizona. Graduated from Southern Illinois Univ School of Dental Medicine in 1997, 29 years ago. Licensed in Arizona.

Years since qualifying
29
Trained at
Southern Illinois Univ School of Dental Medicine
Licensed in
AZ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2450 W Ray Rd Ste 1
Chandler, AZ 85224
Phone: (480) 814-9500
Fax: (480) 814-9501
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence 31035 (AZ)

Record details

NPI number1114940335
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Medical schoolSOUTHERN ILLINOIS UNIV SCHOOL OF DENTAL MEDICINE
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Not indicated

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