Individual
JAYESH S SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1426 W BUSCH BLVD STE 105, TAMPA, FL 33612-7648
(813) 935-0222
(813) 877-6330
Mailing address
1426 W BUSCH BLVD STE 105, TAMPA, FL 33612-7648
(813) 935-0222
(813) 877-6330
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME62438
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00128
WELLCARE & HEALTHEASE
FL
01
—
00700
UNIVERSAL
FL
01
—
202573
AMERIGROUP
FL
01
—
205996
AVMED
—
05
—
370960400
—
FL
01
—
6009848
GHI
—
01
—
BCBS
17903
FL
01
—
P00477293
RAILROAD MEDICARE
—
Enumeration date
08/19/2006
Last updated
05/12/2020
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