Individual
HARSH ROHIT SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4201 SAINT ANTOINE ST STE 5C, DETROIT, MI 48201
(313) 577-5030
(313) 745-4707
Mailing address
3990 JOHN R ST, DETROIT, MI 48201-2018
(313) 745-8040
(313) 966-0070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101022500
MI
207RH0003X
Hematology & Oncology Physician
Primary
11316576-1204
UT
Other
Enumeration date
06/07/2013
Last updated
11/18/2021
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