Individual
JAGRUTI CHIRAG SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
C151875
CA
207U00000X
Nuclear Medicine Physician
MD444163
PA
207U00000X
Nuclear Medicine Physician
MT188957
PA
2085B0100X
Body Imaging Physician
C151875
CA
2085N0904X
Nuclear Radiology Physician
Primary
C151875
CA
2085R0202X
Diagnostic Radiology Physician
C151875
CA
Other
Enumeration date
01/10/2007
Last updated
04/07/2024
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