Shah, Bhavna Rajesh
Shah, Bhavna Rajesh is an sole proprietor health care provider with primary practice located at 205 N East Ave , Jackson MI 49201-1753. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Shah, Bhavna Rajesh can be contacted via phone (517) 788-4897.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 4301048648 | Michigan |
Profile Details
| NPI number | 1861411373 |
|---|---|
| LBN Legal business name | Shah, Bhavna Rajesh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861411373 | NPPES |
| Michigan | Other | 2503800652 | BCBS ID NUMBER |
| Michigan | MEDICAID | 1671387#10 | BCBS ID NUMBER |
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