Individual
SHIRISH MADHAV GADGEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301064320
MI
207RH0003X
Hematology & Oncology Physician
4301064320
MI
207RX0202X
Medical Oncology Physician
Primary
4301064320
MI
Other
Enumeration date
06/01/2006
Last updated
05/21/2020
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