Individual
JAGDISH R SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
363 HIGHLAND AVE, RADIOLOGY DEPARTMENT, FALL RIVER, MA 02720-3703
(508) 677-9729
(508) 679-4728
Mailing address
484 HIGHLAND AVE, RADIOLOGY DEPARTMENT, FALL RIVER, MA 02720-3704
(508) 677-9729
(508) 679-4728
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
034903
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2034719
—
MA
05
—
JS04208
—
RI
Enumeration date
06/06/2006
Last updated
07/08/2007
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