Individual
DR. KAISER SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9493
(616) 284-3132
Mailing address
1107 WHITE PINE LN, WESTERN SPRINGS, IL 60558-5018
(630) 802-8747
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036147091
IL
207L00000X
Anesthesiology Physician
4301510705
MI
Other
Enumeration date
04/02/2014
Last updated
04/22/2024
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