Dr. Sarju Shah, M.D
Family Medicine in Dearborn, MI. Individual provider (NPI-1).
NPI number1124090675
StatusActive
Last updated in NPPESJul 20, 2015
Details
- NPI
- 1124090675
- Entity type
- Individual (NPI-1)
- Name
- Dr. Sarju Shah
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 7, 2006
- Last updated
- Jul 20, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 4301058742 | MI | Yes |
Practice location
15500 Lundy PkwyDearborn, MI 48126-2778
Phone 313-586-5011 · Fax 313-792-7134
Mailing address
42287 Cherry Hill RdCanton, MI 48188-1975
Phone 734-981-1086 · Fax 734-981-5094
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