Aajay N Shah MD PLC

Organization Active NPI Cardiovascular Disease Physician · Okemos, MI

NPI 1801845839 · NPPES record last updated Oct 19, 2011

Key facts

NPI
1801845839
Entity type
Organization (NPI type 2)
Primary specialty
Cardiovascular Disease Physician 207RC0000X
License
4301055396 (MI)
Legal business name
AAJAY N SHAH MD PLC
Practice address
2395 Jolly Rd
Suite 145
Okemos, MI 48864
Phone
(517) 214-9119
Fax
(517) 574-5957
NPI assigned
May 8, 2006
Organization subpart
No

Authorized official

Name
Dr. Aajay N Shah, MD
Title
Owner
Phone
(517) 214-9119

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

2200 Hampton Pl
Rm 240
Okemos, MI 48864
Phone (517) 347-3000

2395 Jolly Rd
Ste 145
Okemos, MI 48864
Phone (517) 349-3303

2200 Hampton Pl
Rm 242
Okemos, MI 48864
Phone (517) 347-3000

2200 Hampton Pl
Rm 244
Okemos, MI 48864
Phone (517) 347-3000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
174400000X 4301055396 MI
Cardiovascular Disease Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
207RC0000X 4301055396 MI Yes
Medical Physician Assistant
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
363AM0700X 5601003787 MI
Medical Physician Assistant
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
363AM0700X 5601003722 MI

Addresses

Primary practice location

2395 Jolly Rd
Suite 145
Okemos, MI 48864

Mailing address

2395 Jolly Rd
Suite 145
Okemos, MI 48864
Phone (517) 214-9119

Other identifiers

IdentifierTypeStateIssuer
2500022OtherMIPHYSICIANS HEALTH PLAN
010056753OtherMIRAILROAD MEDICARE
0603311491OtherMIBLUE CROSS BLUE SHIELD
4673296MedicaidMI
P90592OtherMIBLUE CARE NETWORK

Other providers in Okemos, MI

All providers in Okemos, MI · Cardiovascular Disease Physician in Michigan

Sources for this page

Verify at the official NPI Registry.