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Dr. Gunjan P Shah, M.D.

Internal Medicine, Gastroenterology in Livonia, MI. Individual provider (NPI-1).

NPI number1497720510
StatusActive
Last updated in NPPESFeb 3, 2020

Details

NPI
1497720510
Entity type
Individual (NPI-1)
Name
Dr. Gunjan P Shah
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 22, 2006
Certification date
Feb 3, 2020
Last updated
Feb 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0100X Internal Medicine, Gastroenterology4301059059MIYes
174400000X SpecialistG5059059MI

Practice location

15134 Levan Rd
Suite 34
Livonia, MI 48154

Phone 734-779-2143 · Fax 734-779-2151

Mailing address

15134 Levan Rd
Ste 34
Livonia, MI 48154-5027

Phone 734-779-2143

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