Shah, Hardik M

Shah, Hardik M is an individual health care provider with primary practice located at 4300 Marseilles St , Detroit MI 48224-1479. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM is his primary health care specialty. Shah, Hardik M can be contacted via phone (313) 290-2250.

Contact Information

Primary practice address
4300 Marseilles St Detroit MI 48224-1479
Phone: (313) 290-2250
Fax: (313) 290-2257
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 5101010763 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X HS010763 Michigan

Profile Details

NPI number 1508852765
LBN Legal business name Shah, Hardik M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Dec 10th, 2018 - about 8 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 1508852765 NPPES
Michigan Other 383397259 TAX IDENTIFICATION
Michigan MEDICAID 3439691 TAX IDENTIFICATION
Michigan MEDICAID 1285717249 TAX IDENTIFICATION

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