Individual
KANTI HIRALAL SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
207KA0200X
Allergy Physician
Primary
4301032767
MI
208000000X
Pediatrics Physician
4301032767
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1054463
—
MI
Enumeration date
07/12/2006
Last updated
09/07/2016
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