Individual
DR. DINESH M SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2905 W 12 MILE RD, BERKLEY, MI 48072
(248) 541-0770
(248) 541-6862
Mailing address
2905 W 12 MILE RD, BERKLEY, MI 48072
(248) 541-0770
(248) 541-6862
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301065276
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3314795
—
MI
Enumeration date
11/23/2005
Last updated
12/22/2011
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