# ASHWIN H SHAH MD PC

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

## Provider details

- **NPI number:** 1407995822
- **Authorized official:** ASHWIN H SHAH MD PC (UROLOGIST)
- **Authorized official phone:** (734) 241-3900

## Contact information

- **Practice address:** 718 N MACOMB ST, MONROE, MI 48162-7815
- **Practice address phone:** (614) 500-4373
- **Practice address fax:** (614) 794-5155
- **Mailing address:** 360 SANTURE ST, MONROE, MI 48162-4128
- **Mailing address phone:** (734) 241-3900
- **Mailing address fax:** (734) 241-3538

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 4301043074 | MI | Yes |

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 05/16/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 02011 | PARAMOUNT | MI |
| 01 | — | 0514942 | PALMETTO GBA OHIO CLAIMS | OH |
| 05 | — | 104595322 | — | MI |
| 01 | — | 3405810232 | BLUE CROSS BLUE SHIELD | MI |
| 01 | — | DB5596 | PALMETTO GBA | — |