VRAJESH JATIN SHAH MD - NPI 1194306910 - Student in an Organized Health Care Education/Training Program in San Jose, CA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Vrajesh Jatin Shah Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VRAJESH JATIN SHAH MD (NPI 1194306910) is an individual student in an organized health care education/training program in San Jose, California and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1194306910

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameVRAJESH JATIN SHAHCredential: MD

Location Address751 S BASCOM AVESan Jose, CA 95128-2604

Mailing Address751 S Bascom AveSan Jose, CA 95128-2604

Phone(408) 885-5000

Sole ProprietorYes

Enumeration DateApril 15, 2021

Last NPPES UpdateMarch 29, 20232 updates tracked since enumeration

NPPES CertifiedMarch 29, 2023

✔ NPI 1194306910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

751 S BASCOM AVE, San Jose, CA 95128

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