Individual
JAY SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5919
(248) 471-8000
Mailing address
39566 SQUIRE RD, NOVI, MI 48375-3765
(248) 910-3223
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5151014377
MI
Other
Enumeration date
05/15/2020
Last updated
05/15/2020
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