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NPI Code Detail

MEDICARE: JAY SHAH M.D.

MEDICARE: JAY SHAH M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology PhysicianMD457250PA
22084V0102XVascular Neurology PhysicianMD457250PA
32084V0102XVascular Neurology PhysicianA147222CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841589926
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAY SHAH M.D.
Provider Business Mailing Address
First Line : 3421 CONCORD RD
Second Line :
City : YORK
State : PA
Zip : 17402-9001
Country : US
Telephone Number : 717-851-5503
Fax Number : 717-851-5507
Provider Business Practice Location Address
First Line : 101 THE CITY DR S
Second Line :
City : ORANGE
State : CA
Zip : 92868-3201
Country : US
Telephone Number : 714-456-7720
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2011
Last Update Date : 09/04/2024

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