Individual
DHANANJAY HANUMANTH SHIRGAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16001 W 9 MILE RD, 4TH FLOOR FISHER BUILDING, SUITE 403, SOUTHFIELD, MI 48075-4818
(248) 849-5664
Mailing address
16001 W 9 MILE RD, 4TH FLOOR FISHER BUILDING, SUITE 403, SOUTHFIELD, MI 48075-4818
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301102912
MI
207R00000X
Internal Medicine Physician
84945
SC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
84945
SC
207RP1001X
Pulmonary Disease Physician
84945
SC
208600000X
Surgery Physician
MT200504
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT200504
PA
Other
Enumeration date
06/20/2011
Last updated
09/03/2021
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