Individual
DR. DIPTI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15134 LEVAN RD, LIVONIA, MI 48154
(734) 779-2126
(734) 779-2151
Mailing address
15134 LEVAN RD, LIVONIA, MI 48154-5027
(734) 779-2126
(734) 779-2151
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
DS048043
MI
207RR0500X
Rheumatology Physician
Primary
4301048043
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649318908
—
MI
Enumeration date
02/22/2006
Last updated
05/11/2020
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