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General NPI Number Information
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NPI Number | 1063550291
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Entity Type | Individual
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Provider Name | JIGNESH PRAVIN SHAH MD
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Gender | Male
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 444 FM 1959 RD SUITE A
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City | HOUSTON
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State | TX
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Zip | 77034-5416
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Country | US
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Telephone | 281-481-9400
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Fax | 281-464-8528
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Provider Business Mailing Address
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Address Line | 444 FM 1959 RD STE A
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City | HOUSTON
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State | TX
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Zip | 77034-5416
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Country | US
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Telephone | 281-481-9400
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Fax | 281-481-9490
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 40668
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01061189AP
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 40668
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 40668
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 01061189AP
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License Number State | IN
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Taxonomy #6
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | N5389
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License Number State | TX
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