Shah, Jayesh B

Shah, Jayesh B is an sole proprietor health care provider with primary practice located at 8811 Village Dr Northeast Baptist Wound Healing Center, San Antonio TX 78217-5415. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is his primary health care specialty. Shah, Jayesh B can be contacted via phone (210) 297-2520.

Contact Information

Primary practice address
8811 Village Dr Northeast Baptist Wound Healing Center San Antonio TX 78217-5415
Phone: (210) 297-2520
Fax: (210) 297-2539
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X K1057 Texas
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X K1057 Texas

Profile Details

NPI number 1962404830
LBN Legal business name Shah, Jayesh B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2005
Last updated Feb 23rd, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962404830 NPPES
Texas MEDICAID 1552127-02
Texas Other 00298U

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