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Individual

DR. JAIMIN GIRISH SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
620 10TH ST N, SUITE 3D, ST PETERSBURG, FL 33705-1407
(727) 824-7146
(727) 824-7119
Mailing address
620 10TH ST N STE 3D, ST PETERSBURG, FL 33705-1407
(727) 824-7146
(727) 824-7119

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
36581
SC
208800000X
Urology Physician
Primary
ME124469
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015054700
FL
Enumeration date
05/01/2009
Last updated
03/29/2022
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