Saurin J. Shah MD
Anesthesiology Physician in Jacksonville, FL(View on Map)
Full Name
Saurin Jayendra Shah MD
NPI Number
1366460610
NPI Type
Individual Provider
Gender
Male
Enumeration Date
07/17/2006
Specialties
(Taxonomies)Licenses
State
Alabama
Florida
License Number
26112
ME103324
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 44008
655 W 8TH ST
City
Jacksonville
Jacksonville
State
FL
FL
Postal Code
32231-4008
32209-6511
Country
US
US
Telephone Number
N/A
(904) 244-4195
Identifiers
Identifier
051524824
010033CI21369
852995576A
009971035
009971055
051524787
051524788
009971045
4901341
Unknown
Identifier State
AL
AL
GA
AL
AL
AL
AL
AL
MS
Unknown
Identifier Issuer
BLUE CROSS
SECTION 1011
Unknown
Unknown
Unknown
BLUE CROSS
BLUE CROSS
Unknown
MISSISSIPPI MEDICAID
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/04/2010