Shah, Rajesh Punjalal
Shah, Rajesh Punjalal is an individual health care provider with primary practice located at 110 Elm St , Jackson MI 49201-9108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shah, Rajesh Punjalal can be contacted via phone (517) 788-6760.Contact Information
Primary practice address
110 Elm St
Jackson MI 49201-9108
Phone: (517) 788-6760
Fax: (517) 788-3029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301048647 | Michigan |
Profile Details
| NPI number | 1376595272 |
|---|---|
| LBN Legal business name | Shah, Rajesh Punjalal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Mar 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376595272 | NPPES |
| Michigan | MEDICAID | 104522961 | |
| Michigan | Other | 80155461 |
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