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1164787131
DIPAM KIRAN SHAH
PONTIAC, MI
NPI
1164787131
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4301101543)
Enumeration Date
2012-07-05
Last Update Date
2012-07-17
Business Address
-- DIPAM KIRAN SHAH MD
44405 WOODWARD AVENUE
PONTIAC, MI 48341
Phone number: 248-858-6233
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Mailing Address
-- DIPAM KIRAN SHAH MD
500 FOX HILLS DR N APT 8
BLOOMFIELD HILLS, MI 48304-1339
Phone number: 714-724-4521
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