Individual
DR. NIRAV JITENDRA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, 1H247 UNIVERSITY HOSPITAL, ANN ARBOR, MI 48109-5048
(734) 936-4280
(734) 936-9091
Mailing address
3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301086767
MI
207L00000X
Anesthesiology Physician
N1890
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202727801
—
TX
01
—
P00700725
MEDICARE RAILROAD
TX
Enumeration date
04/02/2007
Last updated
08/26/2013
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