Shah, Riddhi Jay

Shah, Riddhi Jay is an individual health care provider with primary practice located at 3901 Stonegate Park Suite 300, Saint Joseph MI 49085-9137. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Shah, Riddhi Jay can be contacted via phone (269) 408-4265.

Contact Information

Primary practice address
3901 Stonegate Park Suite 300 Saint Joseph MI 49085-9137
Phone: (269) 408-4265
Fax: (269) 556-6020
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 011440 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C0003431 Maryland
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 5101020760 Michigan
Allopathic & Osteopathic Physicians / General Practice 208D00000X 58.004442 Ohio

Profile Details

NPI number 1568504397
LBN Legal business name Shah, Riddhi Jay
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Aug 19th, 2016 - about 8 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 1568504397 NPPES
Michigan MEDICAID 1568504397

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