Provider Demographics
NPI:1518320977
Name:SHROFF, JEFFREY BURKETT (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:BURKETT
Last Name:SHROFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6418 ECKHERT RD
Mailing Address - Street 2:APT. 2301
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-2896
Mailing Address - Country:US
Mailing Address - Phone:979-446-2877
Mailing Address - Fax:
Practice Address - Street 1:6418 ECKHERT RD
Practice Address - Street 2:APT. 2301
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-2896
Practice Address - Country:US
Practice Address - Phone:979-446-2877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-03
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT5208207XX0005X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine