Provider Demographics
NPI:1033286554
Name:SHAH, URVISH K (MD)
Entity Type:Individual
Prefix:DR
First Name:URVISH
Middle Name:K
Last Name:SHAH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3937 PATIENT CARE DRIVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911
Mailing Address - Country:US
Mailing Address - Phone:517-485-2317
Mailing Address - Fax:517-485-1490
Practice Address - Street 1:3937 PATIENT CARE DRIVE
Practice Address - Street 2:SUITE 106
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911
Practice Address - Country:US
Practice Address - Phone:517-485-2317
Practice Address - Fax:517-485-1490
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2016-10-06
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Provider Licenses
StateLicense IDTaxonomies
MI4301050878207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4182251Medicaid
MI4182251Medicaid
F50391Medicare UPIN