Organization
JAWAD A SHAH MD PC
Active
Parent organization
JAWAD A SHAH MD PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JAWAD A SHAH MD PC
Authorized official
MOHAMMAD NADIR IJAZ (COO)
(810) 275-9371
Entity
Organization
Contact information
Practice address
21230 DEQUINDRE RD, WARREN, MI 48091-2279
(810) 275-9333
Mailing address
21230 DEQUINDRE RD, WARREN, MI 48091-2279
(810) 275-9333
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
12/23/2022
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