Individual
DR. AAJAY SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
215 E MANSION ST, SUITE 2F, MARSHALL, MI 49068-1559
(269) 789-8272
(269) 789-8273
Mailing address
215 E MANSION ST, SUITE 2F, MARSHALL, MI 49068-1559
(269) 789-8272
(269) 789-8273
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
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