Shah, Dipti

Shah, Dipti is an individual health care provider with primary practice located at 15134 Levan Rd , Livonia MI 48154. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Shah, Dipti can be contacted via phone (734) 779-2126.

Contact Information

Primary practice address
15134 Levan Rd Livonia MI 48154
Phone: (734) 779-2126
Fax: (734) 779-2151
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X DS048043 Michigan
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 4301048043 Michigan

Profile Details

NPI number 1710952825
LBN Legal business name Shah, Dipti
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated May 11th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710952825 NPPES
Michigan MEDICAID 1649318908

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