Shah, Mira Mahendra
Shah, Mira Mahendra is an individual health care provider with primary practice located at 2799 W Grand Blvd # M2 , Detroit MI 48202. She recently has only one registered license in Allopathic & Osteopathic Physicians / Therapeutic Radiology, which is considered as her primary health care specialty. Shah, Mira Mahendra can be contacted via phone (313) 916-1021.Contact Information
Primary practice address
2799 W Grand Blvd # M2
Detroit MI 48202
Phone: (313) 916-1021
Fax: (313) 916-3264
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Therapeutic Radiology | 2085R0203X | 4301096685 | Michigan |
Profile Details
| NPI number | 1740506351 |
|---|---|
| LBN Legal business name | Shah, Mira Mahendra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2010 |
| Last updated | Jul 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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