Shah, Jignesh S
Shah, Jignesh S is an sole proprietor health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Shah, Jignesh S can be contacted via phone (503) 494-1775.Contact Information
Primary practice address
3181 Sw Sam Jackson Park Rd
Portland OR 97239-3011
Phone: (503) 494-1775
Fax: (503) 494-4749
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD219046 | Oregon |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD219046 | Oregon |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | DR.0053517 | Colorado |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 36788 | Kentucky |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 35.098235 | Ohio |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 74061 | Wisconsin |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | DR.0053517 | Colorado |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 0101266000 | Virginia |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 36788 | Kentucky |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | MD219046 | Oregon |
Profile Details
| NPI number | 1477501351 |
|---|---|
| LBN Legal business name | Shah, Jignesh S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2006 |
| Last updated | Apr 10th, 2024 - about last year |
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 | 1477501351 | NPPES |
| Kentucky | MEDICAID | 8447492 | |
| Kentucky | Other | P00865267 | |
| Kentucky | MEDICAID | 7100063450 | |
| Kentucky | MEDICAID | 100022238 | |
| Kentucky | MEDICAID | 3080419 | |
| Kentucky | MEDICAID | 3810011973 | |
| Kentucky | MEDICAID | 95076255 |
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