Individual
SHARAN JAYESH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4646
(718) 405-9014
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4646
(718) 405-9014
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
335938
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2020
Last updated
07/02/2025
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