Organization
JAYESH S SHAH MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYESH S SHAH MD (OWNER / PROVIDER)
(813) 935-0222
Entity
Organization
Contact information
Practice address
1426 W BUSCH BLVD, STE 105, TAMPA, FL 33612-7602
(813) 935-0222
(813) 877-6330
Mailing address
1426 W BUSCH BLVD, STE 105, TAMPA, FL 33612-7602
(813) 433-1002
(813) 877-6330
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390003723
RAILROAD MEDICARE
—
Enumeration date
08/19/2006
Last updated
06/22/2020
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