| NPI | 1518041052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINESH SHAH President/Owner 313-537-2107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 291U00000X Clinical Medical Laboratory | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 213E00000X Podiatrist | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2012-04-26 |