Individual
JAY BAKUL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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