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Individual

DR. ERIC DINESH SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., M.B.A.

Contact information

Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5293

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
18755
NH
207RG0100X
Gastroenterology Physician
Primary
4301106627
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1032784
VT
05
3112395
NH
Enumeration date
04/16/2012
Last updated
04/26/2023
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