Individual
MR. JAY SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5541 TELEGRAPH ROAD, #216, SAINT LOUIS, MO 63129-3554
(347) 610-3199
Mailing address
5541 TELEGRAPH ROAD, #216, SAINT LOUIS, MO 63129-3554
(347) 610-3199
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R9C76
MO
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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