Most Relevant Information
Provider Data
| NPI Number: | 1003355264 |
| Provider Name: | MAYANK SHAH |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 5501015590 |
Most Important Dates
| Enumeration Date: | 02/20/2017 |
| Last Updated: | 02/20/2017 |
Provider Practice Location
3250 W BIG BEAVER RD
SUITE 304
TROY
MI
480842900
Practice Location Phone/Fax
| Phone: | 3174530430 |
| Fax: |
Provider Mailing Location
3250 W BIG BEAVER RD
SUITE 304
TROY
MI
480842900
Provider Mailing Phone/Fax
| Phone: | 3174530430 |
| Fax: |