Individual
DR. AKSHAY B SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4225 LAKERIDGE CT, BLOOMFIELD HILLS, MI 48302-1621
(248) 762-6662
Mailing address
4225 LAKERIDGE CT, BLOOMFIELD HILLS, MI 48302-1621
(248) 762-6662
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301053002
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3118102-10
—
MI
Enumeration date
07/20/2006
Last updated
01/02/2024
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