Organization
TARA P SHAH ,MD , PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA P SHAH M.D (PRESIDENT)
(248) 853-5093
Entity
Organization
Contact information
Practice address
2950 CROOKS ROAD, ROCHESTER HILLS, MI 48309-2950
(248) 853-5093
Mailing address
2950 CROOKS ROAD, ROCHESTER HILLS, MI 48309-2950
(248) 853-5093
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
TS036111
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2094060 MI
—
MI
Enumeration date
05/22/2008
Last updated
03/03/2009
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