Male or Other

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)

Code

207L00000X

Primary Taxonomy

Yes

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

Provider Address

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