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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAYESH B SHAH, MD

Active Sole Proprietor

JAYESH B SHAH, MD is a 2083P0011X healthcare provider located in SAN ANTONIO, Texas. NPI 1962404830 is currently active in the NPPES registry. Verify at CMS.

2083P0011X · SAN ANTONIO, TX

Registration Details

NPI Number
1962404830
Provider Type
Individual
Gender
Male
NPI Issued
Aug 11, 2005 (20.989236916527 yrs)
Last Updated
Feb 23, 2015
Licenses
K1057 (TX)
K1057 (TX)
Sole Proprietor
Yes

Practice Information

Address
8811 VILLAGE DR
NORTHEAST BAPTIST WOUND HEALING CENTER
SAN ANTONIO, TX, 782175415
Browse TX providers · Browse ZIP 78217
Phone
2102972520
Fax
2102972539
Primary Specialty
2083P0011X
2083P0011X
Additional Specialty
2083P0011X

Other 2083P0011X Providers in SAN ANTONIO, TX

Name Credential NPI
DR. JAMES MARTIN SMITH M.D. 1942249123
DR. HEATHER A MCKENZIE M.D. 1811930431
MARSHALL BRANDON PACKARD MD 1538175443
HOMER CALVIN REYES M.D. 1912015660
DR. BENTON PHILLIPS ZWART MD, MPH 1003910720
ROBERT NORTH DUNN MD 1801991492
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.