Individual
ASHOK R SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 WALTER P CHRYSLER SERVICE DR., DETROIT, MI 48201-2167
(313) 993-3434
(313) 993-3421
Mailing address
1560 E MAPLE RD, SUITE 400-CREDENTIALING, TROY, MI 48083-1138
(313) 993-3434
(313) 993-3421
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301042096
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2122648
—
MI
01
—
260049772
MEDICARE RR PIN
MI
Enumeration date
05/03/2006
Last updated
11/02/2016
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