Individual
JAIMIN J SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
51 N 39TH ST, MOB 1ST FLOOR, SUITE 120, PHILADELPHIA, PA 19104-2640
(215) 662-7320
Mailing address
51 N 39TH ST, MOB 1ST FLOOR, SUITE 120, PHILADELPHIA, PA 19104-2640
(215) 662-7320
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C5398
MD
Other
Enumeration date
08/04/2014
Last updated
08/29/2016
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