Individual
DR. REKHA SUDHIR SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18811 E 10 MILE RD, ROSEVILLE, MI 48066-3931
(586) 771-2340
(586) 771-7323
Mailing address
18811 E 10 MILE RD, ROSEVILLE, MI 48066-3931
(586) 771-2340
(586) 771-7323
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
4301045777
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4335735
—
MI
Enumeration date
06/21/2006
Last updated
07/08/2007
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