Organization
MED-SHARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAKASH GANDHI (PRESIDENT)
(248) 827-7200
Entity
Organization
Contact information
Practice address
26222 TELEGRAPH RD, SUITE 100, SOUTHFIELD, MI 48033-5318
(248) 827-7200
(248) 827-2641
Mailing address
26222 TELEGRAPH RD, SUITE 100, SOUTHFIELD, MI 48033-5318
(248) 827-7200
(248) 827-2641
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207U00000X
Nuclear Medicine Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
207UN0902X
Nuclear Imaging & Therapy Physician
—
—
2084N0400X
Neurology Physician
—
—
2085B0100X
Body Imaging Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F36428
BCBS
MI
Enumeration date
01/02/2008
Last updated
07/11/2008
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