Shah, Rekha Sudhir

Shah, Rekha Sudhir is an individual health care provider with primary practice located at 18811 E 10 Mile Rd , Roseville MI 48066-3931. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Shah, Rekha Sudhir can be contacted via phone (586) 771-2340.

Contact Information

Primary practice address
18811 E 10 Mile Rd Roseville MI 48066-3931
Fax: (586) 771-7323
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 4301045777 Michigan

Profile Details

NPI number 1215973086
LBN Legal business name Shah, Rekha Sudhir
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jul 8th, 2007 - about 17 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 1215973086 NPPES
Michigan MEDICAID 4335735

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