| NPI | 1801845839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AAJAY N SHAH Owner 517-214-9119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301055396) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MI 5601003722) |
| 174400000X Specialist (Licence: MI 4301055396) | |
| 363AM0700X Physician Assistant, Medical (Licence: MI 5601003787) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2011-10-19 |