Individual
VIKAS M. SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202
(313) 916-2436
Mailing address
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202
(313) 916-2436
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301043597
MI
208VP0000X
Pain Medicine Physician
4301043597
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137288910
—
MI
01
—
700H262180
BLUE CROSS-BLUE CROSS
—
01
—
VS043597
CHAMPUS-CHAMPUS
—
Enumeration date
12/01/2006
Last updated
05/10/2023
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