Shah, Rita

Shah, Rita is an individual health care provider with primary practice located at 2905 W 12 Mile Rd , Berkley MI 48072-1413. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Shah, Rita can be contacted via phone (248) 541-0770.

Contact Information

Primary practice address
2905 W 12 Mile Rd Berkley MI 48072-1413
Fax: (248) 541-6862
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301065111 Michigan

Profile Details

NPI number 1639156441
LBN Legal business name Shah, Rita
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Dec 22nd, 2011 - about 15 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 1639156441 NPPES
Michigan MEDICAID 103314801

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