Individual
MUKESH S SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1135 W UNIVERSITY DR, STE 175, ROCHESTER, MI 48307-1871
(248) 656-4900
(248) 656-5060
Mailing address
1135 W UNIVERSITY DR, STE 175, ROCHESTER, MI 48307-1871
(248) 656-4900
(248) 656-5060
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MS048939
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0632517
BLUE CROSS BLUE SHIELD
MI
01
—
11312A
HAP
MI
05
—
188902310
—
MI
Enumeration date
10/04/2007
Last updated
02/06/2014
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