Shah, Mukund
Shah, Mukund is an sole proprietor health care provider with primary practice located at 3800 Hollywood Rd Suite 102, Saint Joseph MI 49085-8510. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Shah, Mukund can be contacted via phone (269) 428-2727.Contact Information
Primary practice address
3800 Hollywood Rd Suite 102
Saint Joseph MI 49085-8510
Phone: (269) 428-2727
Fax: (269) 428-0377
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301039964 | Michigan |
Profile Details
| NPI number | 1013086446 |
|---|---|
| LBN Legal business name | Shah, Mukund |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013086446 | NPPES |
| Michigan | MEDICAID | 1736679 |
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