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Organization

SHEILA P MEFTAH, MD, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHEILA P MEFTAH MD, PHD (PRESIDENT)
(248) 737-2402
Entity
Organization

Contact information

Practice address
33200 W 14 MILE RD, SUITE 200, WEST BLOOMFIELD, MI 48322-3549
(248) 737-2402
(248) 737-2501
Mailing address
30349 KINGSWAY DR, FARMINGTON HILLS, MI 48331-1680
(248) 737-2402
(248) 737-2501

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301407554
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1106335411
BCBSMI
MI
01
377774
HAP
MI
05
4148723
MI
Enumeration date
01/16/2007
Last updated
02/15/2008
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