Shah, Bhavna Rajesh

Shah, Bhavna Rajesh is an sole proprietor health care provider with primary practice located at 205 N East Ave , Jackson MI 49201-1753. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Shah, Bhavna Rajesh can be contacted via phone (517) 788-4897.

Contact Information

Primary practice address
205 N East Ave Jackson MI 49201-1753
Phone: (517) 788-4897
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 4301048648 Michigan

Profile Details

NPI number 1861411373
LBN Legal business name Shah, Bhavna Rajesh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861411373 NPPES
Michigan Other 2503800652 BCBS ID NUMBER
Michigan MEDICAID 1671387#10 BCBS ID NUMBER

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