Individual
JINESH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
780 SWIFT BLVD, KADLEC FAMILY MEDICINE RESIDENCY, RICHLAND, WA 99352-3524
(509) 942-2516
(509) 942-3218
Mailing address
780 SWIFT BLVD, KADLEC FAMILY MEDICINE RESIDENCY, RICHLAND, WA 99352-3524
(509) 942-2516
(509) 942-3218
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
ML60568908
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972999142
—
WA
Enumeration date
04/14/2015
Last updated
08/12/2015
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