Charu B Shah | W. Bloomfield, MI • PECOS Search

Charu B Shah

Social Worker

Behavioral Health & Social Service Providers

6773 W. Maple Road, W. Bloomfield, MI 48322

(248) 661-6100 (248) 788-4115

PECOS Enrollment

Based on the most recent information from CMS, provider Charu B Shah does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:21 AM.

Profile Details

Provider ID
1023100864
Provider Type
Individual
Full Name
Shah, Charu B
Credential
MA-LBSW, CAC-M

Gender
Female
Sole Proprietor
No
Enumeration Date
9/29/2006
Last Updated
1/16/2011

Contact Information

Practice Location

6773 W. Maple Road, W. Bloomfield, MI 48322

(248) 661-7347

Mailing Location

6900 W Nashway, W Bloomfield, MI 48322-3213

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer