Provider Demographics
NPI:1235416421
Name:SHAH, JIGAR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JIGAR
Middle Name:
Last Name:SHAH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1207 ANCRUM HILL LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-6710
Mailing Address - Country:US
Mailing Address - Phone:832-239-2479
Mailing Address - Fax:763-322-5215
Practice Address - Street 1:1207 ANCRUM HILL LN
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-6710
Practice Address - Country:US
Practice Address - Phone:832-239-2479
Practice Address - Fax:763-322-5215
Is Sole Proprietor?:No
Enumeration Date:2011-11-16
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist