Individual
MADHUKAR SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3158 W CENTRAL AVE, TOLEDO, OH 43606-2920
(419) 354-8900
Mailing address
744 W MICHIGAN AVE, JACKSON, MI 49201-1909
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35041506S
—
Other
Enumeration date
06/23/2006
Last updated
07/08/2007
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