Individual
DR. JIGNESH JAGDISH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 EAST CHESTNUT STREET, STE #510, MSC 1063, LOUISVILLE, KY 40202-5710
(502) 588-4800
(502) 588-4801
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
47320
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201242580
—
IN
05
—
7100144620
—
KY
Enumeration date
10/13/2008
Last updated
10/15/2019
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