Individual
MR. DIPAM JASHWANT SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
2165 HERSCHEL ST, JACKSONVILLE, FL 32204-3819
(904) 387-4030
Mailing address
11212 ENGINEERING WAY, JACKSONVILLE, FL 32256-8195
(904) 536-6456
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
AA437
FL
367H00000X
Anesthesiologist Assistant
Primary
AA437
FL
Other
Enumeration date
03/15/2018
Last updated
03/27/2025
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