Organization
EASTPOINTE FAMILY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARDIK M SHAH D.O. (PRESIDENT/ OWNER)
(586) 772-9055
Entity
Organization
Contact information
Practice address
24901 KELLY RD, EASTPOINTE, MI 48021-1367
(586) 772-9055
(586) 772-0543
Mailing address
24901 KELLY RD, EASTPOINTE, MI 48021-1367
(586) 772-9055
(586) 772-0543
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
5101010763
MI
207Q00000X
Family Medicine Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3439691
—
MI
05
—
4653079
—
MI
05
—
4665525
—
MI
Enumeration date
10/13/2006
Last updated
09/11/2025
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