Individual
DR. TARA P SHAH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
38300 VAN DYKE AVE, STE 102, STERLING HEIGHTS, MI 48312-1123
(586) 268-5040
(586) 268-5040
Mailing address
38300 VAN DYKE AVE, STE 102, STERLING HEIGHTS, MI 48312-1123
(586) 268-5040
(586) 268-5040
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301036111
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2094060
—
MI
Enumeration date
12/15/2005
Last updated
07/08/2007
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