Organization
HERBERT J ROTH AND KALPANA SHAH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERBERT J ROTH SR. MD (PRESIDENT)
(248) 644-5626
Entity
Organization
Contact information
Practice address
31815 SOUTHFIELD RD, STE 14, BEVERLY HILLS, MI 48025-5471
(248) 644-5626
(248) 644-5497
Mailing address
31815 SOUTHFIELD RD, STE 14, BEVERLY HILLS, MI 48025-5471
(248) 644-5626
(248) 644-5497
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
024195
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3289487
—
MI
05
—
3289496
—
MI
Enumeration date
12/11/2006
Last updated
08/22/2020
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