SAGAR SHAILESH SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

ACTIVE

Business

Title

First Name

SAGAR

Middle

SHAILESH

Last Name

SHAH

Business Name

SAGAR SHAILESH SHAH MD

Original Issue Date

06/01/2021

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

DETROIT

State

Zip

48226

County

WAYNE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/05/2023