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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497720510 NPPES
Michigan MEDICAID 3265959

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