Individual
SAURIN JAYENDRA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
26112
AL
207L00000X
Anesthesiology Physician
Primary
ME103324
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009971035
—
AL
05
—
009971045
—
AL
05
—
009971055
—
AL
01
—
010033CI21369
SECTION 1011
AL
01
—
051524787
BLUE CROSS
AL
01
—
051524788
BLUE CROSS
AL
01
—
051524824
BLUE CROSS
AL
01
—
4901341
MISSISSIPPI MEDICAID
MS
05
—
852995576A
—
GA
01
—
P00167065
RAILROAD MEDICARE
AL
Enumeration date
07/17/2006
Last updated
05/04/2010
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