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Organization

JAWAD A SHAH, MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAWAD A SHAH MD (PRESIDENT)
(810) 732-8336
Entity
Organization

Contact information

Practice address
4800 S SAGINAW ST, STE 1805, FLINT, MI 48507-2669
(810) 732-8336
(810) 239-4346
Mailing address
4800 S SAGINAW ST, STE 1800, FLINT, MI 48507-2669
(810) 732-8336
(810) 239-4346

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MI
207LP2900X
Pain Medicine (Anesthesiology) Physician
MI
207T00000X
Neurological Surgery Physician
MI
2085N0700X
Neuroradiology Physician
MI
2085R0202X
Diagnostic Radiology Physician
MI
261QP2000X
Physical Therapy Clinic/Center
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1427020452
INDIVIDUAL NPI NUMBER
MI
Enumeration date
06/05/2007
Last updated
03/31/2022
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