Individual
JAYANT SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6245 INKSTER RD, GARDEN CITY HOSPITAL, GARDEN CITY, MI 48135-4001
(734) 458-4441
(734) 458-4432
Mailing address
1560 E MAPLE RD, SUITE 400-CREDENTIALING, TROY, MI 48083-1138
(734) 458-4441
(734) 458-4432
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301034421
MI
Other
Enumeration date
07/19/2006
Last updated
11/02/2016
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