Individual
MAULI KETAN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
(269) 337-6019
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02005744A
IN
207P00000X
Emergency Medicine Physician
5101022536
MI
390200000X
Student in an Organized Health Care Education/Training Program
5101022536
MI
Other
Enumeration date
06/06/2016
Last updated
07/13/2020
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