Individual
DR. DIPAK P SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22250 PROVIDENCE DR, STE # 705, SOUTHFIELD, MI 48075-4825
(248) 552-9858
(248) 552-9510
Mailing address
22250 PROVIDENCE DR, 705, SOUTHFIELD, MI 48075-4825
(248) 552-9858
(248) 552-9510
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
4301095878
MI
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
4301095878
MI
Other
Enumeration date
03/27/2009
Last updated
01/14/2011
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