Individual
DIPAM KIRAN SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44405 WOODWARD AVENUE, PONTIAC, MI 48341
(248) 858-6233
Mailing address
500 FOX HILLS DR N APT 8, BLOOMFIELD HILLS, MI 48304-1339
(714) 724-4521
(714) 964-7852
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301101543
MI
Other
Enumeration date
07/05/2012
Last updated
07/17/2012
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