Organization
CLAWSON INTERNIST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIRAJ SHAH MD (OWNER)
(248) 588-4777
Entity
Organization
Contact information
Practice address
21 S MAIN ST, CLAWSON, MI 48017-2061
(248) 588-4777
(248) 588-1241
Mailing address
PO BOX 1829, TROY, MI 48099
(248) 588-4777
(248) 588-1241
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301057675
MI
207R00000X
Internal Medicine Physician
Primary
4301067271
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110F323170
BCBSM
MI
Enumeration date
10/24/2006
Last updated
04/19/2011
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