# BHANU J. SHAH MD PC

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

## Provider details

- **NPI number:** 1427385954
- **Authorized official:** DR. BHANU J SHAH MD (PRESIDENT)
- **Authorized official phone:** (586) 574-2190

## Contact information

- **Practice address:** 29175 RYAN RD, WARREN, MI 48092-4243
- **Practice address phone:** (586) 574-2190
- **Practice address fax:** (586) 574-2203
- **Mailing address:** 29175 RYAN RD, WARREN, MI 48092
- **Mailing address phone:** (586) 574-2190
- **Mailing address fax:** (586) 574-2203

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 31435 | MI | Yes |

## Other

- **Enumeration date:** 11/04/2009
- **Last updated:** 03/25/2010