Individual
KUNJESH PARESH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
45569 VAN DYKE AVE STE 3, UTICA, MI 48317-5617
(586) 258-8791
(586) 799-4474
Mailing address
45569 VAN DYKE AVE STE 3, UTICA, MI 48317-5617
(586) 258-8791
(586) 799-4474
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301090856
MI
207QA0505X
Adult Medicine Physician
4301090856
MI
Other
Enumeration date
07/13/2007
Last updated
10/23/2023
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