Provider Demographics
NPI:1659508166
Name:SHAH, JIGAR (MD)
Entity Type:Individual
Prefix:
First Name:JIGAR
Middle Name:
Last Name:SHAH
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 1:5901 COLONIAL DR STE 303
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5683
Mailing Address - Country:US
Mailing Address - Phone:954-281-8891
Mailing Address - Fax:
Practice Address - Street 1:5901 COLONIAL DR STE 303
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063
Practice Address - Country:US
Practice Address - Phone:954-281-8891
Practice Address - Fax:954-375-9664
Is Sole Proprietor?:No
Enumeration Date:2009-06-11
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME113940208M00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist