Sarju S. Shah, Md | |
2050 N Haggerty Rd Ste 240 Canton MI 48187-3796 | |
(734) 519-5161 | |
(734) 519-5717 |
Full Name | Sarju S. Shah, Md |
---|---|
Speciality | Family Medicine |
Location | 2050 N Haggerty Rd Ste 240, Canton, Michigan |
Authorized Official Name and Position | Sarju Shah (OWNER) |
Authorized Official Contact | 7345195161 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sarju S. Shah, Md 8352 Rolling Meadows Dr Canton MI 48187-1347 Ph: () - | Sarju S. Shah, Md 2050 N Haggerty Rd Ste 240 Canton MI 48187-3796 Ph: (734) 519-5161 |
NPI Number | 1386247369 |
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Provider Enumeration Date | 11/20/2020 |
Last Update Date | 04/06/2022 |
Medicare PECOS PAC ID | 5799192696 |
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Medicare Enrollment ID | O20210319001640 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386247369 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Sarju Shah |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124090675 PECOS PAC ID: 5294761888 Enrollment ID: I20051229000359 |
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