Michigan Physicians Group, Pc

LBN: Michigan Physicians Group, Pc
Michigan Physicians Group, Pc is an health care organization with primary practice located at 2905 12 Mile Rd , Berkley MI 48072-1413. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Neurology, Podiatric Medicine & Surgery Service Providers / Podiatrist, Laboratories / Clinical Medical Laboratory, Suppliers / Durable Medical Equipment & Medical Supplies, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty. Michigan Physicians Group, Pc can be contacted via phone (248) 541-0770, or through Shah, Dinesh via phone (313) 537-2107.

Contact Information

Primary practice address
2905 12 Mile Rd Berkley MI 48072-1413
Phone: (248) 541-0770
Fax: (248) 541-6862
Website:
Map and Directions
Authorized official contact:
Name: Shah, Dinesh Doctor of Medicine (MD)
Phone: (313) 537-2107

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Michigan
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X Michigan
Allopathic & Osteopathic Physicians / Neurology 2084N0400X Michigan
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X Michigan
Laboratories / Clinical Medical Laboratory 291U00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Michigan

Profile Details

NPI number 1518041052
LBN Legal business name Michigan Physicians Group, Pc
DBA Doing business as
Authorized official Shah, Dinesh Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2006
Last updated Apr 26th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518041052 NPPES
Other 6388420001 NATIONAL SUPPLIER CLEARINGHOUSE/NSC PTAN
Other 0F38290 NATIONAL SUPPLIER CLEARINGHOUSE/NSC PTAN
Other 0F36177 NATIONAL SUPPLIER CLEARINGHOUSE/NSC PTAN
MEDICAID 1518041052 NATIONAL SUPPLIER CLEARINGHOUSE/NSC PTAN

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