Individual
JAYESH R SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 E POTTAWATAMIE ST, TECUMSEH, MI 49286-2018
(517) 423-2141
Mailing address
2000 GREEN RD, SUITE 300, ANN ARBOR, MI 48105-1598
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
084511
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4685027
—
MI
05
—
4718360
—
MI
01
—
JS084511
BC/BS
MI
Enumeration date
06/06/2006
Last updated
01/07/2009
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