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Individual
SHYAM MAHESH
Active
Individual
SHYAM MAHESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301074094
MI
208M00000X
Hospitalist Physician
4301074094
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962407569
NPI #
MI
05
—
4829495
—
MI
01
—
70-0-F32947-0
BCBS CPIN #
MI
01
—
SM074094
BCBSM
MI
Enumeration date
06/20/2005
Last updated
07/29/2015
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