Organization
JAYDEEP S. SHAH, M.D. PLLC
Active
Organization
JAYDEEP S. SHAH, M.D. PLLC
Active
Other names
Children's Anesthesia of San Antonio
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYDEEP SHAH M.D. (MANAGING PARTNER)
(210) 387-7693
Entity
Organization
Contact information
Practice address
602 BENTLEY MNR, SHAVANO PARK, TX 78249-2079
(210) 387-7693
(210) 481-3793
Mailing address
602 BENTLEY MNR, SHAVANO PARK, TX 78249-2079
(210) 387-7693
(210) 481-3793
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
L0930
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046693002
—
TX
Enumeration date
04/17/2017
Last updated
04/17/2017
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