Individual
MANAN JAYVANT SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6501 N CHARLES ST, BALTIMORE, MD 21204-6819
(410) 938-3000
(410) 938-5131
Mailing address
6501 N CHARLES ST, BALTIMORE, MD 21204-6819
(410) 938-3000
(410) 938-5131
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
D75919
MD
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
D75919
MD
Other
Enumeration date
07/14/2009
Last updated
10/16/2017
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