# TARA P SHAH ,MD , PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013174382
- **Authorized official:** DR. TARA P SHAH M.D (PRESIDENT)
- **Authorized official phone:** (248) 853-5093

## Contact information

- **Practice address:** 2950 CROOKS ROAD, ROCHESTER HILLS, MI 48309-2950
- **Practice address phone:** (248) 853-5093
- **Mailing address:** 2950 CROOKS ROAD, ROCHESTER HILLS, MI 48309-2950
- **Mailing address phone:** (248) 853-5093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | TS036111 | MI | Yes |

## Other

- **Enumeration date:** 05/22/2008
- **Last updated:** 03/03/2009