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1376595272
RAJESH PUNJALAL SHAH
JACKSON, MI
NPI
1376595272
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301048647)
Enumeration Date
2006-05-17
Last Update Date
2009-03-18
Business Address
RAJESH PUNJALAL SHAH MD
110 ELM ST
JACKSON, MI 49201-9108
Phone number: 517-788-6760
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Mailing Address
RAJESH PUNJALAL SHAH MD
DEPARTMENT 272801 PO BOX 67000
DETROIT, MI 48267-2728
Phone number: 517-788-6760
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