Provider Demographics
NPI:1730354879
Name:SHAH, JAYENDRA ARYINDLAL (MD)
Entity type:Individual
Prefix:MR
First Name:JAYENDRA
Middle Name:ARYINDLAL
Last Name:SHAH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2525 E OCEAN BLVD
Mailing Address - Street 2:LONG BEACH COMPREHENSIVE HEALTH CENTER
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-2501
Mailing Address - Country:US
Mailing Address - Phone:562-599-8636
Mailing Address - Fax:562-218-0853
Practice Address - Street 1:1333 CHESTNUT AVE ROOM 205
Practice Address - Street 2:LONG BEACH COMPREHENSIVE HEALTH CENTER
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90813
Practice Address - Country:US
Practice Address - Phone:562-599-8636
Practice Address - Fax:562-218-0853
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2016-02-06
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Provider Licenses
StateLicense IDTaxonomies
CAA29575208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation