Shah, Mukesh S

Shah, Mukesh S is an sole proprietor health care provider with primary practice located at 1135 W University Dr Ste 175, Rochester MI 48307-1871. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Shah, Mukesh S can be contacted via phone (248) 656-4900.

Contact Information

Primary practice address
1135 W University Dr Ste 175 Rochester MI 48307-1871
Phone: (248) 656-4900
Fax: (248) 656-5060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MS048939 Michigan

Profile Details

NPI number 1265620124
LBN Legal business name Shah, Mukesh S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2007
Last updated Feb 6th, 2014 - about 10 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 1265620124 NPPES
Michigan Other 0632517 BLUE CROSS BLUE SHIELD
Michigan Other 11312A BLUE CROSS BLUE SHIELD
Michigan MEDICAID 188902310 BLUE CROSS BLUE SHIELD

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