Individual
SHIVA J MARALANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20952 E 12 MILE RD, SUITE 200, ST CLAIR SHORES, MI 48081-3200
(586) 771-4820
(586) 771-6620
Mailing address
20952 E 12 MILE RD, SUITE 200, ST CLAIR SHORES, MI 48081-3200
(586) 771-4820
(586) 771-6620
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301060368
MI
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
4301060368
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01004182
HEALTH PLUS
MI
01
—
124503
PRIORITY HEALTH
MI
01
—
340014930
RAILROAD MEDICARE
MI
01
—
5124630
AETNA
MI
01
—
7738350002
CIGNA
MI
01
—
G78723
HAP
MI
Enumeration date
04/19/2006
Last updated
02/28/2024
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