Jaykumar H. Shah, Md, A Professional Corporation | |
623 W Duarte Rd #7 Arcadia CA 91007-7330 | |
(626) 446-4404 | |
(626) 446-0599 |
Full Name | Jaykumar H. Shah, Md, A Professional Corporation |
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Speciality | Clinic/Center |
Location | 623 W Duarte Rd, Arcadia, California |
Authorized Official Name and Position | Jaykumar H Shah (PHYSICIAN) |
Authorized Official Contact | 6264464404 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jaykumar H. Shah, Md, A Professional Corporation 623 W Duarte Rd #7 Arcadia CA 91007-7330 Ph: (626) 446-4404 | Jaykumar H. Shah, Md, A Professional Corporation 623 W Duarte Rd #7 Arcadia CA 91007-7330 Ph: (626) 446-4404 |
NPI Number | 1629413000 |
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Provider Enumeration Date | 04/30/2013 |
Last Update Date | 04/30/2013 |
Medicare PECOS PAC ID | 5698994861 |
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Medicare Enrollment ID | O20140920000352 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629413000 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | A42091 (California) | Primary |
Provider Name | Jaykumar Harilal Shah |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376514661 PECOS PAC ID: 0840482402 Enrollment ID: I20101014000542 |
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