| NPI | 1164739066 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DINESH SHAH Medical Doctor/Owner 248-583-0100  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301065276)  | 
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301066469)  | 
| 213E00000X Podiatrist (Licence: MI 5315028842)  | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2010-09-13 | 
| Last Update Date | 2011-05-04 |