Individual
KANCHI MAYA SHERPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD.
Contact information
Practice address
4646 JOHN R ST, JOHN D. DINGELL VA MEDICAL CENTER, DETROIT, MI 48201-1916
(313) 576-1000
(313) 576-1233
Mailing address
744 SHELDEN RD, GROSSE POINTE SHORES, MI 48236-1511
(248) 990-3018
(313) 447-5846
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
241910
NY
2085R0202X
Diagnostic Radiology Physician
Primary
241910
NY
Other
Enumeration date
08/28/2007
Last updated
06/24/2011
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