Individual
DR. BINA B SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1712 PICADILLY DRIVE, TROY, MI 48084
(248) 643-1953
(248) 643-1953
Mailing address
1712 PICADILLY DRIVE, TROY, MI 48084
(248) 643-1953
(248) 643-1953
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301045358
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1105026991
—
MI
01
—
4203128
BCBS OF MICHIGAN
MI
Enumeration date
08/07/2006
Last updated
10/04/2011
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