Shankar, Jay Eriah

Shankar, Jay Eriah is an individual health care provider with primary practice located at 12675 Hesperia Rd , Victorville CA 92395-5878. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Shankar, Jay Eriah can be contacted via phone (760) 241-3306.

Contact Information

Primary practice address
12675 Hesperia Rd Victorville CA 92395-5878
Fax: (760) 241-5037
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A40224 California
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A40224 California

Profile Details

NPI number 1164431318
LBN Legal business name Shankar, Jay Eriah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Mar 7th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164431318 NPPES
Other ZZZ26953Z GROUP ID
Other 00A402240 GROUP ID

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