Individual
DR. ATUL C. SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8033 E 10 MILE RD, SUITE 105, CENTER LINE, MI 48015-1427
(586) 755-6101
(586) 755-8609
Mailing address
8033 E. TEN MILE RD, CENTERLINE MEDICAL CLINIC, SUITE 105, CENTER LINE, MI 48015
(586) 755-6101
(586) 755-8609
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301053461
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3402430
—
MI
Enumeration date
02/22/2007
Last updated
07/09/2007
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