Individual
DR. JAYA R SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15322 SAINT CLAIR AVE, CLEVELAND, OH 44110-3043
(216) 851-1500
(216) 851-0602
Mailing address
15322 SAINT CLAIR AVE, CLEVELAND, OH 44110-3043
(216) 851-1500
(216) 851-0602
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35033154
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0203701
—
OH
Enumeration date
06/22/2007
Last updated
07/08/2007
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