Individual
TUSHAR R SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
302 KENSINGTON AVE, FLINT, MI 48503-2044
(810) 762-8490
(810) 762-3735
Mailing address
302 KENSINGTON AVE, FLINT, MI 48503-2044
(810) 762-8490
(810) 762-3735
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
4301073928
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4538999
—
MI
01
—
P00100938
RR MEDICARE
MI
Enumeration date
12/22/2005
Last updated
03/26/2019
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