Organization
ASHWIN H SHAH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHWIN H SHAH MD PC (UROLOGIST)
(734) 241-3900
Entity
Organization
Contact information
Practice address
718 N MACOMB ST, MONROE, MI 48162-7815
(614) 500-4373
(614) 794-5155
Mailing address
360 SANTURE ST, MONROE, MI 48162-4128
(734) 241-3900
(734) 241-3538
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301043074
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02011
PARAMOUNT
MI
01
—
0514942
PALMETTO GBA OHIO CLAIMS
OH
05
—
104595322
—
MI
01
—
3405810232
BLUE CROSS BLUE SHIELD
MI
01
—
DB5596
PALMETTO GBA
—
Enumeration date
02/05/2007
Last updated
05/16/2025
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