Mahesh, Shyam
Mahesh, Shyam is an individual health care provider with primary practice located at 5301 E Huron River Dr , Ypsilanti MI 48197-1051. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mahesh, Shyam can be contacted via phone (734) 464-0887.Contact Information
Primary practice address
5301 E Huron River Dr
Ypsilanti MI 48197-1051
Phone: (734) 464-0887
Fax: (734) 402-0254
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301074094 | Michigan |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 4301074094 | Michigan |
Profile Details
| NPI number | 1962407569 |
|---|---|
| LBN Legal business name | Mahesh, Shyam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Jul 29th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962407569 | NPPES |
| Michigan | Other | 1962407569 | NPI # |
| Michigan | Other | SM074094 | NPI # |
| Michigan | MEDICAID | 4829495 | NPI # |
| Michigan | Other | 70-0-F32947-0 | NPI # |
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