Shah, Jay Pravin

Shah, Jay Pravin is an sole proprietor health care provider with primary practice located at 4301 N Macarthur Blvd , Irving TX 75038-6497. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Shah, Jay Pravin can be contacted via phone (708) 525-6915.

Contact Information

Primary practice address
4301 N Macarthur Blvd Irving TX 75038-6497
Phone: (708) 525-6915
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 036131055 Illinois
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X P8731 Texas

Profile Details

NPI number 1871728907
LBN Legal business name Shah, Jay Pravin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2009
Last updated Jun 14th, 2024 - about 2 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 1871728907 NPPES
Texas MEDICAID 348517902
Texas MEDICAID 348517901
Texas MEDICAID 348517903

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