Individual
DR. JINESH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
450 BLOSSOM ST STE D, WEBSTER, TX 77598-4200
(832) 905-5940
Mailing address
450 BLOSSOM ST STE D, WEBSTER, TX 77598-4200
(832) 905-5940
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
R4634
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401430001
—
TX
Enumeration date
05/15/2013
Last updated
12/03/2019
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