Individual
JAY BAKUL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
C145834
CA
208800000X
Urology Physician
N0452
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202822701
—
TX
01
—
8V1995
BCBS
TX
01
—
P00830874
RR MEDICARE
TX
Enumeration date
04/14/2009
Last updated
03/14/2024
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