Shore, Supriya

Shore, Supriya is an individual health care provider with primary practice located at 7500 Challis Rd 2Nd Floor, Brighton MI 48116-9416. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is her primary health care specialty. Shore, Supriya can be contacted via phone (810) 263-4000.

Contact Information

Primary practice address
7500 Challis Rd 2Nd Floor Brighton MI 48116-9416
Phone: (810) 263-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 52579 Colorado
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301114850 Michigan
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4301114850 Michigan
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology 207RA0001X 4301114850 Michigan

Profile Details

NPI number 1609140029
LBN Legal business name Shore, Supriya
Credentials M.B.B.S
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2012
Last updated Feb 25th, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1609140029 NPPES
Colorado Other 024175 KAISER COMMERCIAL NUMBET
Colorado MEDICAID 19509286 KAISER COMMERCIAL NUMBET

Popular Providers