Individual
DR. KRISHNA J SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6219 FARM CT, FLINT, MI 48532-2115
(810) 449-1594
Mailing address
6219 FARM CT, FLINT, MI 48532-2115
(810) 449-1594
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
KS037728
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1589410
—
MI
Enumeration date
07/12/2006
Last updated
07/08/2007
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