DR. VIRAJ V SHAH (NPI# 1194770628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194770628 |
| Entity Type | Individual |
| Full Name | DR. VIRAJ V SHAH |
| Credential | D.D.S. |
| Practice Address |
12871 E Jefferson Ave Ste. C Detroit MI 48215-2754 |
| Practice Telephone | 3138224200 |
| Practice Fax Number | 3138220944 |
| Mailing Telephone | 3138224200 |
| Mailing Fax Number | 3138220944 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901018711 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962964932 | Viraj Rajiv Shah | Student in an Organized Health Care Education/Training Program | 800 Meadows Rd, Boca Raton, FL 33486 | 2019-04-01 |
| 1639256274 | Viraj J Shah | Optometrist | 4810 Elk Grove Blvd, Suite 160, Elk Grove, CA 95758-4186 | 2006-11-01 |
| Street Address |
12871 E JEFFERSON AVE STE. C |
| City | DETROIT |
| State | MI |
| Zip Code | 48215-2754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548252240 | Gloria Chaney | Family Medicine | 12871 E Jefferson Ave, Detroit, MI 48215-2754 | 2005-08-18 |
| 1720619091 | Sunshine Mental Health Care | Nurse Practitioner | 12871 E Jefferson Ave, Detroit, MI 48215-2754 | 2020-01-27 |
| 1730681735 | Kidds Comfort Transportation Services,llc | Driver | 12871 E Jefferson Ave, Detroit, MI 48215-2754 | 2018-03-06 |
| 1154854016 | Lenyie Ngbogbara | Pharmacist | 12871 E Jefferson Ave, Detroit, MI 48215-2754 | 2017-04-07 |
| 1144770652 | Abdul Ghani Fahd Mohammed | Dentist | 12871 E Jefferson Ave, Ste. C, Detroit, MI 48215-2754 | 2016-10-07 |
| 1871617290 | Stephen Thomas Holmes | Dentist | 12871 E Jefferson Ave, Ste C, Detroit, MI 48215-2754 | 2007-03-19 |
| 1710039383 | Baig Dental Group, P.C. | Dentist | 12871 E Jefferson Ave, Ste. C, Detroit, MI 48215-2754 | 2007-01-17 |
| 1437161437 | Park Family Health Care, P.C. | Family Medicine | 12871 E Jefferson Ave, Detroit, MI 48215-2754 | 2006-08-12 |
| 1447294970 | Kelly Gardiner | Nurse Practitioner | 12871 E Jefferson Ave, Detroit, MI 48215-2754 | 2006-06-15 |
| 1801888565 | Richard M. Brown | Family Medicine | 12871 E Jefferson Ave, Detroit, MI 48215-2754 | 2005-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073035473 | Creative Empowerment Counseling Services, LLC | Community/Behavioral Health | 214 Manistique, Detroit, MI 48215 | 2017-07-07 |
| 1801323530 | Tanya Wade | Social Worker | 12800 E Warren, Detroit, MI 48215 | 2017-05-12 |
| 1992164289 | Juanita Johnson | Counselor | 13336-40 E. Warren Ave, Detroit, MI 48215 | 2016-02-16 |
| 1629476379 | Northeast Guidance Center | Community/Behavioral Health | 12800 Warren, Detroit, MI 48215 | 2014-12-11 |
| 1407253412 | Conner Pharmacy LLC | Pharmacy | 4673 Conner Street, Detroit, MI 48215 | 2014-11-20 |
| 1053734285 | Dawne Robinson | Counselor | 2995 Conner St, Detroit, MI 48215 | 2014-01-23 |
| 1790065357 | Michelle Miller | Counselor | 2900 Conner, Bldg. A, Detroit, MI 48215 | 2011-08-26 |
| 1710286836 | Northeast Guidance Center | Community/Behavioral Health | 2900 Conner St, Ste A, Detroit, MI 48215 | 2011-03-16 |
| 1871892992 | Lisa Nicole Marszalec | Counselor | 12800 East Warren Ave, Detroit, MI 48215 | 2011-03-16 |
| 1881845014 | Deborah A Caldwell | Nutritionist | 13340 E Warren, Detroit, MI 48215 | 2008-10-07 |
| Find all providers in zip 48215 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528678687 | Elmwood Park Dental | Dentist | 1547 E Lafayette St, Detroit, MI 48207-2958 | 2020-08-04 |
| 1205452786 | Daniel Galvez | Dentist | 200 Riverfront Dr Apt 20f, Detroit, MI 48226-7598 | 2020-06-22 |
| 1669947107 | Diamond Smiles Dentistry, PC | Dentist | 13334 E Jefferson Ave, Detroit, MI 48215-2719 | 2018-10-11 |
| 1053802629 | Hussein Daher | Dentist | 6061 W Vernor Hwy Ste 1, Detroit, MI 48209-2085 | 2018-05-19 |
| 1497278287 | Kamil Abraham | Dentist | 24366 Grand River Ave Ste 111, Detroit, MI 48219-3098 | 2017-07-24 |
| 1326561887 | Nicholas Dipilla | Dentist | 1 Woodward Ave Ste 1625, Detroit, MI 48226-3422 | 2017-07-17 |
| 1164963401 | Smile Fresh Detroit PC | Dentist | 7230 Gratiot Avenue, Detroit, MI 48213 | 2017-03-20 |
| 1164967469 | Fady Sarkees | Dentist | 21427 Grand River Ave, Detroit, MI 48219-3896 | 2016-12-23 |
| 1538523477 | Charnia Hall | Dentist | 4272 Saint Antoine St, Detroit, MI 48201-2108 | 2016-04-06 |
| 1093178378 | Florence Koloko | Dentist | 250 E Harbortown Dr Apt 608, Detroit, MI 48207-5010 | 2016-04-03 |
| Find all providers in DETROIT | ||||
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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.