Individual
KEVIN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
4901 HAGGERTY RD, WEST BLOOMFIELD, MI 48323-3903
(630) 450-5793
Mailing address
1451 CHAPLEAU DR, ANN ARBOR, MI 48103-8878
(630) 450-5793
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051295863
IL
Other
Enumeration date
12/13/2020
Last updated
12/13/2020
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