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Individual
RIDDHISH ASHOKKUMAR SHAH
Active
Individual
RIDDHISH ASHOKKUMAR SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501015009
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501015009
STATE OF MI
MI
Enumeration date
07/13/2011
Last updated
11/19/2013
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