Individual
RADHIKA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
500 KIRTS BLVD STE 100, TROY, MI 48084-4135
(248) 824-6060
(248) 686-0772
Mailing address
PO BOX 639295 DEPT 93394, CINCINNATI, OH 45263-9295
(484) 346-1692
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704279608NSA2213H
MI
Other
Enumeration date
01/10/2023
Last updated
03/17/2023
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