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Contact Information

HARDIK M SHAH, DO
4300 MARSEILLES STREET
DETROIT, MI48224
 Phone: 313-290-2250
 Fax: 313-290-2257
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for HARDIK M SHAH · (Male)

NPI Number 1508852765
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 09/23/2005
Last updated 12/10/2018 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5101010763
  • MI License # HS010763
  • MI Medicaid 1285717249
  • MI Medicaid 3439691
  • MI Other 383397259 TAX IDENTIFICATION
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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