Individual
DR. JAY PRAVIN SHAH
Active
Individual
DR. JAY PRAVIN SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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