Shah, Ibrahim

Shah, Ibrahim is an individual health care provider with primary practice located at 2134 Hampton Pl , Okemos MI 48864-3691. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Shah, Ibrahim can be contacted via phone (517) 347-3000.

Contact Information

Primary practice address
2134 Hampton Pl Okemos MI 48864-3691
Phone: (517) 347-3000
Fax: (517) 347-8393
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301078328 Michigan
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4301078328 Michigan

Profile Details

NPI number 1689649527
LBN Legal business name Shah, Ibrahim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jun 13th, 2011 - about 13 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689649527 NPPES
Michigan MEDICAID 1689649527

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