Individual
DIPSA DIGANT SHASTRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 551-0497
Mailing address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 551-0497
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
06/16/2025
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