Shah, Mona Jay

Shah, Mona Jay is an individual health care provider with primary practice located at 1361 13Th Ave S Ste 270 , Jacksonville Beach FL 32250-3258. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Shah, Mona Jay can be contacted via phone (904) 241-7147.

Contact Information

Primary practice address
1361 13Th Ave S Ste 270 Jacksonville Beach FL 32250-3258
Fax: (904) 241-5942
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X ME94951 Florida
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME94951 Florida

Profile Details

NPI number 1659329308
LBN Legal business name Shah, Mona Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Nov 17th, 2015 - about 10 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 1659329308 NPPES
Florida MEDICAID 275142900
Florida Other P01133944

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