Shah, Jayesh R

Shah, Jayesh R is an individual health care provider with primary practice located at 500 E Pottawatamie St , Tecumseh MI 49286-2018. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Shah, Jayesh R can be contacted via phone (517) 423-2141.

Contact Information

Primary practice address
500 E Pottawatamie St Tecumseh MI 49286-2018
Phone: (517) 423-2141
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 084511 Michigan

Profile Details

NPI number 1184663627
LBN Legal business name Shah, Jayesh R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jan 7th, 2009 - about 15 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 1184663627 NPPES
Michigan MEDICAID 4718360
Michigan MEDICAID 4685027
Michigan Other JS084511

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