Organization
KANTI H. SHAH, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANTI H. SHAH M.D. (PRESIDENT)
(734) 243-5720
Entity
Organization
Contact information
Practice address
814 N MACOMB ST, MONROE, MI 48162-2930
(734) 243-5720
(734) 243-9261
Mailing address
814 N MACOMB ST, MONROE, MI 48162-2930
(734) 243-5720
(734) 243-9261
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301032767
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OE81021
BCBSM GROUP BILL PIN
MI
Enumeration date
05/22/2007
Last updated
02/14/2008
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