Shah, Sanjaykumar B

Shah, Sanjaykumar B is an individual health care provider with primary practice located at 2300 Hospital Dr Suite 200, Bossier City LA 71111-2394. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shah, Sanjaykumar B can be contacted via phone (318) 212-7830.

Contact Information

Primary practice address
2300 Hospital Dr Suite 200 Bossier City LA 71111-2394
Phone: (318) 212-7830
Fax: (318) 212-7835
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11384R Louisiana

Profile Details

NPI number 1740226505
LBN Legal business name Shah, Sanjaykumar B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jan 21st, 2009 - about 17 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 1740226505 NPPES
Louisiana MEDICAID 1661104

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