Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 5101022500 | MI |
N | 111NI0900X | Internist | 5101022500 | MI |
Y | 207RH0003X | Hematology & Oncology | 11316576-1204 | UT |
NPI | 1023456324 |
---|---|
Provider Name | Harsh Rohit Shah |
First Address | Detroit, MI 48201-2018 |
Second Address | Detroit, MI 48201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2013 |
Last Update Date | 18/11/2021 |