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Individual
JAYESH S SHAH
Active
Individual
JAYESH S SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME62438
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00128
WELLCARE & HEALTHEASE
FL
01
—
00700
UNIVERSAL
FL
01
—
202573
AMERIGROUP
FL
01
—
205996
AVMED
—
05
—
370960400
—
FL
01
—
6009848
GHI
—
01
—
BCBS
17903
FL
01
—
P00477293
RAILROAD MEDICARE
—
Enumeration date
08/19/2006
Last updated
05/12/2020
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