Organization
AAJAY N SHAH MD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AAJAY N SHAH MD (OWNER)
(517) 214-9119
Entity
Organization
Contact information
Practice address
2395 JOLLY RD, SUITE 145, OKEMOS, MI 48864
(517) 214-9119
(517) 574-5957
Mailing address
2395 JOLLY RD, SUITE 145, OKEMOS, MI 48864
(517) 214-9119
(517) 574-5957
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4301055396
MI
207RC0000X
Cardiovascular Disease Physician
Primary
4301055396
MI
363AM0700X
Medical Physician Assistant
5601003722
MI
363AM0700X
Medical Physician Assistant
5601003787
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010056753
RAILROAD MEDICARE
MI
01
—
0603311491
BLUE CROSS BLUE SHIELD
MI
01
—
2500022
PHYSICIANS HEALTH PLAN
MI
05
—
4673296
—
MI
01
—
P90592
BLUE CARE NETWORK
MI
Enumeration date
05/08/2006
Last updated
10/19/2011
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