Mukund Shah
Pediatrician
3800 Hollywood Rd Suite 102
Saint Joseph
, Michigan 49085-8510
Mukund Shah
Pediatrician
3800 Hollywood Rd Suite 102
Saint Joseph
, Michigan 49085-8510
(269) 428-0377
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Mukund Shah
- 3800 Hollywood Rd Suite 102
- Saint Joseph, MI
- Zip : 49085-8510
- Fax : (269) 428-0377
- Phone : (269) 428-2727
Second Address
- Mukund Shah
- 3800 Hollywood Rd Suite 102
- Saint Joseph, MI
- Zip : 49085-8510
- Fax : (269) 428-0377
- Phone : (269) 428-2727
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 4301039964 | MI |
National Provider Identifier
| NPI | 1013086446 |
|---|---|
| Provider Name | Mukund Shah |
| First Address | Saint Joseph, MI 49085-8510 |
| Second Address | Saint Joseph, MI 49085-8510 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/11/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1736679 | (05) | MI |
| F38630 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.