Individual
DR. JAY NARESH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 HEALTHY WAY STE 1200, ANDERSON, SC 29621-7916
(864) 716-6140
(864) 716-6149
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 716-6140
(864) 716-6149
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
47985
KY
207X00000X
Orthopaedic Surgery Physician
Primary
81899
SC
207X00000X
Orthopaedic Surgery Physician
R2094
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100160850
—
KY
05
—
818994
—
SC
Enumeration date
05/11/2009
Last updated
10/26/2020
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