Individual
DR. SHELEIKA LINETTE HERVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-6509
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1848
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
22489
WV
2085R0202X
Diagnostic Radiology Physician
Primary
4301104262
MI
2085R0202X
Diagnostic Radiology Physician
N3726
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386842292
BLUE CROSS BLUE SHIELD
TX
05
—
214498201
—
TX
05
—
214498202
—
TX
Enumeration date
07/03/2007
Last updated
10/29/2024
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