Individual
JEANINE CAROLINE SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
82 NASSAU ST # 61392, NEW YORK, NY 10038-3703
(470) 410-4080
Mailing address
3033 CAMPUS DR STE W225, PLYMOUTH, MN 55441-2752
(415) 504-3838
(415) 504-1367
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01091768A
IN
207Q00000X
Family Medicine Physician
Primary
036.132417
IL
207Q00000X
Family Medicine Physician
075616
CT
207Q00000X
Family Medicine Physician
1017-320
WI
207Q00000X
Family Medicine Physician
2024015870
MO
207Q00000X
Family Medicine Physician
31930
MS
207Q00000X
Family Medicine Physician
35.139958
OH
207Q00000X
Family Medicine Physician
42055
OK
207Q00000X
Family Medicine Physician
43548
AL
207Q00000X
Family Medicine Physician
47115
AZ
207Q00000X
Family Medicine Physician
86307
GA
207Q00000X
Family Medicine Physician
MD202531
OR
207Q00000X
Family Medicine Physician
MD61092503
WA
207Q00000X
Family Medicine Physician
MED-PHYS-COM-LIC-903
MT
207Q00000X
Family Medicine Physician
TPME327
FL
Other
Enumeration date
06/09/2010
Last updated
09/29/2025
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