Individual
DR. GUNJAN P SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15134 LEVAN RD, SUITE 34, LIVONIA, MI 48154
(734) 779-2143
(734) 779-2151
Mailing address
15134 LEVAN RD, STE 34, LIVONIA, MI 48154-5027
(734) 779-2143
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G5059059
MI
207RG0100X
Gastroenterology Physician
Primary
4301059059
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3265959
—
MI
Enumeration date
02/22/2006
Last updated
02/03/2020
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