Individual
VANDAN SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14650 E. OLD US 12, SUITE 308, CHELSEA, MI 48118
(734) 475-3221
Mailing address
14650 E. OLD US 12, SUITE 308, CHELSEA, MI 48118
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301500221
MI
207ND0101X
MOHS-Micrographic Surgery Physician
4301500221
MI
Other
Enumeration date
05/09/2014
Last updated
10/02/2023
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