Individual
DR. JAINIL JATIN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 W 40TH AVE STE 301, PINE BLUFF, AR 71603-6346
(870) 541-4285
(870) 541-4290
Mailing address
1601 W 40TH AVE STE 301, PINE BLUFF, AR 71603-6346
(870) 541-4285
(870) 541-4290
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301103851
MI
207RI0011X
Interventional Cardiology Physician
Primary
E-12936
AR
207RI0011X
Interventional Cardiology Physician
TRN22953
FL
Other
Enumeration date
07/02/2013
Last updated
08/30/2022
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