Provider Demographics
NPI:1831113638
Name:SHAH, ARTI UPENDRA (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTI
Middle Name:UPENDRA
Last Name:SHAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3937 PATIENT CARE WAY
Mailing Address - Street 2:101
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-4287
Mailing Address - Country:US
Mailing Address - Phone:517-394-6484
Mailing Address - Fax:517-394-7785
Practice Address - Street 1:3937 PATIENT CARE WAY
Practice Address - Street 2:101
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-4287
Practice Address - Country:US
Practice Address - Phone:517-394-6484
Practice Address - Fax:517-394-7785
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301058975208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics