Individual
ASHA SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4803
(248) 849-3000
Mailing address
19686 SUSSEX, LIVONIA, MI 48152-4012
(734) 462-2902
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036141696
IL
208600000X
Surgery Physician
Primary
4301094459
MI
Other
Enumeration date
07/16/2009
Last updated
12/12/2016
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