Shah, Gunjan P
Shah, Gunjan P is an sole proprietor health care provider with primary practice located at 15134 Levan Rd Suite 34, Livonia MI 48154. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Shah, Gunjan P can be contacted via phone (734) 779-2143.Contact Information
Primary practice address
15134 Levan Rd Suite 34
Livonia MI 48154
Phone: (734) 779-2143
Fax: (734) 779-2151
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 4301059059 | Michigan |
| Other Service Providers / Specialist | 174400000X | G5059059 | Michigan |
Profile Details
| NPI number | 1497720510 |
|---|---|
| LBN Legal business name | Shah, Gunjan P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Feb 3rd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497720510 | NPPES |
| Michigan | MEDICAID | 3265959 |
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