Mukund R Shah MD Plc

NPI #1649440231 in Saint Joseph, Michigan

Provider Information

NPI Number: 1649440231
Entity Type: Organization
Organization Name: Mukund R Shah MD Plc
Primary Specialty: Pediatrics
Enumeration Date: Mar 10, 2008
Last Updated: Mar 10, 2008

Practice Location

Address: 3800 HOLLYWOOD RD
Address 2: SUITE 102
City: Saint Joseph
State: Michigan
ZIP Code: 49085-8510
Phone: (269) 428-2727

Authorized Official

Name: MUKUND R SHAH, MD
Title: OWNER
Phone: (269) 428-2727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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