Organization
INSTITUTE OF NEUROMUSCULAR MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARDIK SHAH DO (OWNER)
(313) 290-2250
Entity
Organization
Contact information
Practice address
4300 MARSEILLES ST, DETROIT, MI 48224-1479
(313) 290-2250
(313) 290-2257
Mailing address
4300 MARSEILLES ST, DETROIT, MI 48224-1479
(313) 290-2250
(313) 290-2257
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0855010684
BCBSM
MI
05
—
1508852765
—
MI
Enumeration date
10/23/2006
Last updated
04/06/2026
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