Organization
HOLLYWOOD PEDITRIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REKHA SUDHIR SHAH M.D. (PRESIDENT)
(586) 771-2340
Entity
Organization
Contact information
Practice address
18811 E 10 MILE RD, ROSEVILLE, MI 48066-3931
(586) 771-2340
(586) 771-7323
Mailing address
18811 E 10 MILE RD, ROSEVILLE, MI 48066-3931
(586) 771-2340
(586) 771-7323
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301045777
MI
Other
Enumeration date
05/12/2008
Last updated
05/12/2008
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