Organization
MEADOWBROOK PRIMARY CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARJU SHAH M.D. (OWNER / PRESIDENT)
(734) 892-2712
Entity
Organization
Contact information
Practice address
2050 N HAGGERTY RD STE 260, CANTON, MI 48187-3796
(734) 892-2712
(734) 892-2714
Mailing address
2050 N HAGGERTY RD STE 260, CANTON, MI 48187-3796
(734) 892-2712
(734) 892-2714
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
02/13/2015
Last updated
04/18/2019
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