Individual
JAMIE JATIN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 816-5916
Mailing address
SAN ANTONIO MILITARY MEDICAL CENTER, MCHE-ZPL-A, 3551 ROGER BROOKE DR., JBSA-FORT SAM HOUSTON, TX 78234-4504
(210) 916-6807
(210) 916-4530
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0102207686
VA
208D00000X
General Practice Physician
0102207686
VA
Other
Enumeration date
04/07/2021
Last updated
07/22/2025
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