Shah, Jayraj C
Shah, Jayraj C is an individual health care provider with primary practice located at 416 N Locust Ave , Lawrenceburg TN 38464-3518. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Shah, Jayraj C can be contacted via phone (931) 762-8588.Contact Information
Primary practice address
416 N Locust Ave
Lawrenceburg TN 38464-3518
Phone: (931) 762-8588
Fax: (931) 766-1010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 207RA0000X | MD12977 | Tennessee |
Profile Details
| NPI number | 1457364671 |
|---|---|
| LBN Legal business name | Shah, Jayraj C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2006 |
| Last updated | May 29th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457364671 | NPPES |
| Tennessee | MEDICAID | 3182622 | |
| Tennessee | Other | BCBS-TN 0000924 |
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