Organization
MUKUND R SHAH MD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUKUND R SHAH MD (OWNER)
(269) 428-2727
Entity
Organization
Contact information
Practice address
3800 HOLLYWOOD RD, SUITE 102, SAINT JOSEPH, MI 49085-8510
(269) 428-2727
(269) 428-0377
Mailing address
3800 HOLLYWOOD RD, SUITE 102, SAINT JOSEPH, MI 49085-8510
(269) 428-2727
(269) 428-0377
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301039964
MI
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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