Individual
DR. ROSHNI MUKESH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
22250 PROVIDENCE DR STE 705, SOUTHFIELD, MI 48075-6215
(248) 552-9858
(248) 552-9510
Mailing address
22250 PROVIDENCE DR STE 705, SOUTHFIELD, MI 48075-6215
(248) 552-9858
(248) 552-9510
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
5101019730
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B510740
BCBS
MI
05
—
1962705004
—
MI
Enumeration date
12/13/2010
Last updated
03/17/2018
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