Shah, Rajesh Punjalal

Shah, Rajesh Punjalal is an individual health care provider with primary practice located at 110 Elm St , Jackson MI 49201-9108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shah, Rajesh Punjalal can be contacted via phone (517) 788-6760.

Contact Information

Primary practice address
110 Elm St Jackson MI 49201-9108
Phone: (517) 788-6760
Fax: (517) 788-3029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301048647 Michigan

Profile Details

NPI number 1376595272
LBN Legal business name Shah, Rajesh Punjalal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Mar 18th, 2009 - about 17 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 1376595272 NPPES
Michigan MEDICAID 104522961
Michigan Other 80155461

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