Provider Demographics
NPI:1912188400
Name:SHAH, ASHOK J (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHOK
Middle Name:J
Last Name:SHAH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1215 E MICHIGAN AVE
Mailing Address - Street 2:2ND FLOOR,CARDIAC ELECTROPHYSIOLOGY,SPARROW HOSPITAL
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-1811
Mailing Address - Country:US
Mailing Address - Phone:517-488-7119
Mailing Address - Fax:517-364-2867
Practice Address - Street 1:1215 E MICHIGAN AVE
Practice Address - Street 2:2ND FLOOR,CARDIAC ELECTROPHYSIOLOGY,SPARROW HOSPITAL
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-1811
Practice Address - Country:US
Practice Address - Phone:517-488-7119
Practice Address - Fax:517-364-2867
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-26
Last Update Date:2007-11-26
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Provider Licenses
StateLicense IDTaxonomies
MI4301089328207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology