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Individual
SHISHIR SENAPATI
Active
Individual
SHISHIR SENAPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PC
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
SS066528
MI
208M00000X
Hospitalist Physician
4301066528
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0501580
BCBS
MI
01
—
10158860001
WELLNESS PLAN
MI
01
—
135474
GLHP
MI
01
—
352243716
TAX ID
MI
05
—
4800058
—
MI
01
—
7995388
AETNA
MI
01
—
NC011918
MCARE
MI
Enumeration date
07/17/2006
Last updated
07/08/2015
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