Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | MD444163 | PA |
N | 207U00000X | Nuclear Medicine Specialist | MT188957 | PA |
NPI | 1669521191 |
---|---|
Provider Name | Jagruti C Shah |
First Address | Stanford, CA 94305-2200 |
Second Address | Stanford, CA 94305-2200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2007 |
Last Update Date | 02/06/2021 |