Individual
JINESH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
70412
CT
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
70488
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207718
—
AZ
Enumeration date
05/24/2016
Last updated
07/08/2026
Update your record
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