Shidham, Vinod B

Shidham, Vinod B is an individual health care provider with primary practice located at 3990 John R St Harper Hospital Pathology, Detroit MI 48201-2018. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Shidham, Vinod B can be contacted via phone (313) 745-8555.

Contact Information

Primary practice address
3990 John R St Harper Hospital Pathology Detroit MI 48201-2018
Phone: (313) 745-8555
Fax: (313) 745-9299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 4301096896 Michigan

Profile Details

NPI number 1710939566
LBN Legal business name Shidham, Vinod B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Mar 9th, 2023 - about 2 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 1710939566 NPPES
Wisconsin MEDICAID 32465900
Wisconsin Other 002000227E

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