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Individual

MR. SHRINIVAS BISHU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1500 EAST MEDICAL CENTER DRIVE, 3RD FLOOR TAUBMAN CENTER, ANN ARBOR, MI 48109-5362
(734) 647-5944
Mailing address
700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301108613
MI
207U00000X
Nuclear Medicine Physician
23863
NE

Other

Enumeration date
05/14/2009
Last updated
09/16/2015
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