Individual
JATAN A SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
207 FOOTE AVE, JAMESTOWN, NY 14701-7077
(716) 483-0803
(716) 483-5144
Mailing address
207 FOOTE AVE, JAMESTOWN, NY 14701-7077
(716) 483-0803
(716) 483-5144
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
310270-01
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD473034
PA
Other
Enumeration date
07/11/2014
Last updated
08/03/2021
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