Individual
JAY SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-7720
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-5503
(717) 851-5507
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
MD457250
PA
2084V0102X
Vascular Neurology Physician
Primary
A147222
CA
2084V0102X
Vascular Neurology Physician
MD457250
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
524644FLT
—
PA
Enumeration date
03/29/2011
Last updated
09/04/2024
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