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1740506351
MIRA MAHENDRA SHAH
DETROIT, MI
NPI
1740506351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0203X Radiology, Therapeutic Radiology
(Licence: MI 4301096685)
Enumeration Date
2010-04-08
Last Update Date
2018-07-10
Business Address
MIRA MAHENDRA SHAH M.D.
2799 W GRAND BLVD # M2
DETROIT, MI 48202
Phone number: 313-916-1021
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Mailing Address
MIRA MAHENDRA SHAH M.D.
2799 W GRAND BLVD
DETROIT, MI 48202-2689
Phone number: 313-399-7668
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