DR. SARJU SHAH (NPI# 1124090675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124090675 |
| Entity Type | Individual |
| Full Name | DR. SARJU SHAH |
| Credential | M.D |
| Practice Address |
15500 Lundy Pkwy Dearborn MI 48126-2778 |
| Mailing Address |
42287 Cherry Hill Rd Canton MI 48188-1975 |
| Practice Telephone | 3135865011 |
| Practice Fax Number | 3137927134 |
| Mailing Telephone | 7349811086 |
| Mailing Fax Number | 7349815094 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2015-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301058742 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 104521623 | 05 | |
| RAILROAD MEDICARE | P00007965 | 01 |
| Street Address |
15500 LUNDY PKWY |
| City | DEARBORN |
| State | MI |
| Zip Code | 48126-2778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992242598 | Fatin Badran | Nurse Anesthetist, Certified Registered | 15500 Lundy Pkwy, Dearborn, MI 48126-2778 | 2017-01-21 |
| 1679844963 | Michigan Mobile Imaging, LLC | Specialist/Technologist, Other | 15500 Lundy Pkwy, Attn: Tammy Flynn (n201), Dearborn, MI 48126-2778 | 2012-01-19 |
| 1932421179 | Fahed Sabagh | Internal Medicine | 15500 Lundy Pkwy, Dearborn, MI 48126-2778 | 2010-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1417501958 | Ximena Noemi Ortega | Behavior Technician | 6241 Miller Rd, Dearborn, MI 48126 | 2019-08-01 |
| 1912478827 | Abar Alghazali | Behavior Technician | 4641 Lois, Dearborn, MI 48126 | 2018-12-17 |
| 1861972457 | Laboratory Specialists of Michigan, LLC | Clinical Medical Laboratory | 13530 Michigan Ave Ste 240, Dearborn, MI 48126 | 2018-08-14 |
| 1528544806 | Farah Osman | Pharmacist | 14715 Ford Rd, Dearborn, MI 48126 | 2018-07-19 |
| 1255821328 | Loyal Pharmacy LLC | Pharmacy | 7118 Greenfield Rd St(b), Dearborn, MI 48126 | 2018-05-15 |
| 1952803900 | Neetika Kesar | Physical Therapist | 15051, Ford Road, Dearborn, MI 48126 | 2018-03-06 |
| 1396247607 | David Jerome Kurcz | Physical Therapy Assistant | 15051 Ford Road, Henry Ford Village, Dearborn, MI 48126 | 2018-03-02 |
| 1043732506 | Shadiya Ahmed | Dentist | 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 | 2017-07-16 |
| Find all providers in zip 48126 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376171538 | Mazin Alnasry | Family Medicine | 7629 Calhoun St, Dearborn, MI 48126-1148 | 2020-03-31 |
| 1003263476 | Ali I Sobh | Family Medicine | 13107 S Morrow Cir, Dearborn, MI 48126-1442 | 2016-05-16 |
| 1639311509 | Sajad Zalzala | Family Medicine | 835 Mason St Ste A250, Dearborn, MI 48124-2231 | 2009-03-24 |
| 1760682371 | Access Ipa | Family Medicine | 6450 Maple, Dearborn, MI 48126 | 2007-07-21 |
| 1770786931 | Padmaja Vemuri | Family Medicine | 18101 Oakwood Blvd, Oakwood Hospital and Medical Center, Dearborn, MI 48124 | 2007-06-06 |
| 1730390832 | Hassan Ali Saghir | Family Medicine | 6833 Calhoun St, Same As Above, Dearborn, MI 48126-1808 | 2007-05-24 |
| 1629136064 | Sham Juratli | Family Medicine | 18181 Oakwood Blvd., Suite 206, Dearborn, MI 48124 | 2006-12-05 |
| 1861562365 | Rana Khoury | Family Medicine | 3736 Pelham St, Dearborn, MI 48124-3832 | 2006-11-09 |
| 1902985310 | Mohamad Derani | Family Medicine | 15401 W Warren Ave, Dearborn, MI 48126-1359 | 2006-11-04 |
| 1033295167 | Cecelia F. Hissong, M. D., P. C. | Family Medicine | 23100 Cherry Hill Rd., Dearborn, MI 48124-1493 | 2006-10-31 |
| Find all providers in DEARBORN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.