Individual
DR. AAJAY SHAH
Active
Individual
DR. AAJAY SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301055396
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000792050
BCBS
IN
01
—
010056753
RAILROAD MEDICARE
MI
01
—
0331149
BCBS AND BCN PIN
MI
01
—
0603311491
BCBSM PROVIDER
MI
05
—
200084480
—
IN
01
—
2500022
PHP OF MI
MI
01
—
4301055396
STATE LICENSE
MI
05
—
4673296
—
MI
01
—
861085123
FEDERAL TAX ID
MI
01
—
P90592
BLUE CARE NETWORK
MI
Enumeration date
05/26/2006
Last updated
12/08/2014
Update your record
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