Individual
MR. JITEN KRISHNAKANT SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.T.
Contact information
Practice address
419 W WHEATLAND RD, SUITE 102, DUNCANVILLE, TX 75116-4619
(972) 296-1808
(972) 296-3777
Mailing address
419 W WHEATLAND RD, SUITE 102, DUNCANVILLE, TX 75116-4619
(972) 296-1808
(972) 296-3777
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1015048
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932229507
NPI
TX
Enumeration date
06/06/2006
Last updated
09/15/2008
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