Individual
MRS. DEESHALI SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5919
(559) 789-7547
Mailing address
3602 CHERRY CREEK LN, STERLING HEIGHTS, MI 48314-1033
(559) 789-7547
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5101019537
MI
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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