Individual
JAY SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 S CENTER ST, HARTFORD, MI 49057-1362
(269) 463-3600
(269) 621-9972
Mailing address
525 S CENTER ST, HARTFORD, MI 49057-1362
(269) 463-3600
(269) 621-9972
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036133075
IL
207Q00000X
Family Medicine Physician
Primary
4301103258
MI
Other
Enumeration date
06/10/2010
Last updated
08/06/2013
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