Individual
RUPEN ASHOK KUMAR SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, GENERAL SURGERY K-8, DETROIT, MI 48202-2608
(313) 916-3258
Mailing address
2799 W GRAND BLVD, GENERAL SURGERY K-8, DETROIT, MI 48202-2608
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301096293
MI
2086X0206X
Surgical Oncology Physician
Primary
4301016293
MI
Other
Enumeration date
08/13/2009
Last updated
04/30/2025
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