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General NPI Number Information
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NPI Number | 1407995822
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Entity Type | Organization
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Legal Business Name | ASHWIN H SHAH MD PC
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 718 N MACOMB ST
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City | MONROE
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State | MI
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Zip | 48162-7815
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Country | US
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Telephone | 614-500-4373
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Fax | 614-794-5155
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Provider Business Mailing Address
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Address Line | 360 SANTURE ST
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City | MONROE
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State | MI
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Zip | 48162-4128
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Country | US
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Telephone | 734-241-3900
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Fax | 734-241-3538
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Authorized Official
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Title or Position | UROLOGIST
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Name | ASHWIN H SHAH
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Credential | MD PC
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Telephone | 734-241-3900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 4301043074
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License Number State | MI
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