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Individual

DR. JAY PRAVIN SHAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4301 N MACARTHUR BLVD, IRVING, TX 75038-6497
(844) 864-8942
(469) 935-6195
Mailing address
4301 N MACARTHUR BLVD, IRVING, TX 75038-6497
(844) 864-8942
(469) 935-6195

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
036131055
IL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
P8731
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
348517901
TX
05
348517902
TX
05
348517903
TX
Enumeration date
05/19/2009
Last updated
12/09/2025
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