Provider Demographics
NPI:1356526602
Name:DIGESTIVE DISEASE CENTER OF MID-MICHIGAN
Entity type:Organization
Organization Name:DIGESTIVE DISEASE CENTER OF MID-MICHIGAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:URVISH
Authorized Official - Middle Name:KANTILAL
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:517-485-2317
Mailing Address - Street 1:3937 PATIENT CARE DR.
Mailing Address - Street 2:SUITE 106
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-4287
Mailing Address - Country:US
Mailing Address - Phone:517-485-2317
Mailing Address - Fax:517-485-1490
Practice Address - Street 1:3937 PATIENT CARE DR.
Practice Address - Street 2:SUITE 106
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-4287
Practice Address - Country:US
Practice Address - Phone:517-485-2317
Practice Address - Fax:517-485-1490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty