Individual
JAY PRAVIN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6650 ALTON PKWY # 2, IRVINE, CA 92618-3734
(949) 932-5695
Mailing address
6650 ALTON PKWY # 2, IRVINE, CA 92618-3734
(949) 932-5695
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD035523
DC
207VX0201X
Gynecologic Oncology Physician
4301078009
MI
207VX0201X
Gynecologic Oncology Physician
Primary
A112592
CA
Other
Enumeration date
01/31/2006
Last updated
12/06/2021
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