# JEANINE CAROLINE SHAH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1518287812
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01091768A | IN | — |
| 207Q00000X | Family Medicine Physician | 036.132417 | IL | Yes |
| 207Q00000X | Family Medicine Physician | 075616 | CT | — |
| 207Q00000X | Family Medicine Physician | 1017-320 | WI | — |
| 207Q00000X | Family Medicine Physician | 2024015870 | MO | — |
| 207Q00000X | Family Medicine Physician | 31930 | MS | — |
| 207Q00000X | Family Medicine Physician | 35.139958 | OH | — |
| 207Q00000X | Family Medicine Physician | 42055 | OK | — |
| 207Q00000X | Family Medicine Physician | 43548 | AL | — |
| 207Q00000X | Family Medicine Physician | 47115 | AZ | — |
| 207Q00000X | Family Medicine Physician | 86307 | GA | — |
| 207Q00000X | Family Medicine Physician | MD202531 | OR | — |
| 207Q00000X | Family Medicine Physician | MD61092503 | WA | — |
| 207Q00000X | Family Medicine Physician | MED-PHYS-COM-LIC-903 | MT | — |
| 207Q00000X | Family Medicine Physician | TPME327 | FL | — |

## Other

- **Enumeration date:** 06/09/2010
- **Last updated:** 09/29/2025