Shah, Mukund

Shah, Mukund is an sole proprietor health care provider with primary practice located at 3800 Hollywood Rd Suite 102, Saint Joseph MI 49085-8510. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Shah, Mukund can be contacted via phone (269) 428-2727.

Contact Information

Primary practice address
3800 Hollywood Rd Suite 102 Saint Joseph MI 49085-8510
Phone: (269) 428-2727
Fax: (269) 428-0377
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301039964 Michigan

Profile Details

NPI number 1013086446
LBN Legal business name Shah, Mukund
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2006
Last updated Jul 8th, 2007 - about 19 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 1013086446 NPPES
Michigan MEDICAID 1736679

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