Individual provider · Type 1 NPI

Kairavi Shah, MD

Student in an Organized Health Care Education/Training Program · Port Huron, MI

NPI number 1700628773 Active

Practice location

1216 Richardson St
Port Huron, MI 48060-3549

Call (810) 985-2640 Map

Fax (810) 962-8294

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X5315248910 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1700628773

Kairavi Shah, MD's National Provider Identifier is 1700628773, issued on Jun 11, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Port Huron, MI. The record was last updated on Jun 17, 2024.