Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 4301050878 | MI |
NPI | 1033286554 |
---|---|
Provider Name | Dr. Urvish K Shah |
First Address | Lansing, MI 48911 |
Second Address | Lansing, MI 48911 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 06/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4182251 | (05) | MI |
F50391 | (02) |