Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kinjal Shah

Individual provider Physician Assistant · NPI 1588111074

Kinjal Shah is a Physician Assistant in Canton, Michigan. Qualified in 2016, 10 years ago. Practices with Iha Health Services Corporation, a 1,146-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and New York.

Years since qualifying
10
Licensed in
MI, NY
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

43767 Ford Rd
Canton, MI 48187-3185
Phone: (734) 928-2233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 374 Stockholm St, Brooklyn, NY 11237-4006 — (718) 963-7272

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601008737 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 20087 (NY)

Record details

NPI number1588111074
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 1, 2016
Last updated in NPPESMarch 1, 2019
Mailing address47033 Fieldview Ct, Canton, MI 48188-2182

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Iha Health Services Corporation — 1146 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Canton