Individual
JENNIFER LOBO SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7500 CHALLIS RD, BRIGHTON, MI 48116-9416
(810) 263-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
4301099244
MI
2085R0001X
Radiation Oncology Physician
A122600
CA
Other
Enumeration date
03/31/2011
Last updated
02/25/2020
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