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Organization

MED-SHARE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PRAKASH B GANDHI (PRESIDENT)
(248) 827-7200
Entity
Organization

Contact information

Practice address
26222 TELEGRAPH RD, SUITE 100, SOUTHFIELD, MI 48033-5318
(248) 827-7200
(248) 827-2641
Mailing address
26222 TELEGRAPH RD, SUITE 100, SOUTHFIELD, MI 48033-5318
(248) 827-7200
(248) 827-2641

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207RC0000X
Cardiovascular Disease Physician
207U00000X
Nuclear Medicine Physician
207UN0901X
Nuclear Cardiology Physician
Primary
207UN0902X
Nuclear Imaging & Therapy Physician
2085B0100X
Body Imaging Physician
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
2085N0700X
Neuroradiology Physician
2085N0904X
Nuclear Radiology Physician
2085R0202X
Diagnostic Radiology Physician
2085R0204X
Vascular & Interventional Radiology Physician
2085U0001X
Diagnostic Ultrasound Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0F36427
MEDICARE
MI
Enumeration date
06/27/2008
Last updated
11/09/2010
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