Shah, Jyoti R
Shah, Jyoti R is an sole proprietor health care provider with primary practice located at 354 Stanley Dr , Kingston PA 18704-5610. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Shah, Jyoti R can be contacted via phone (570) 288-3903.Contact Information
Primary practice address
354 Stanley Dr
Kingston PA 18704-5610
Phone: (570) 288-3903
Fax: (570) 288-3903
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD 023979E | Pennsylvania |
Profile Details
| NPI number | 1902854086 |
|---|---|
| LBN Legal business name | Shah, Jyoti R |
| Credentials | M.D. DFAPA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1902854086 | NPPES |
| Pennsylvania | MEDICAID | 1456970 |
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