Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 125051647 | IL |
N | 111NI0900X | Internist | 125051647 | IL |
N | 207R00000X | Internist | 4301099746 | MI |
N | 111NI0900X | Internist | 4301099746 | MI |
N | 207RH0000X | Hematologist | 4301099746 | MI |
Y | 207RX0202X | Medical Oncology | 4301099746 | MI |
NPI | 1215184577 |
---|---|
Provider Name | Sheetal Mehta Kircher |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48109-5912 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2008 |
Last Update Date | 23/12/2011 |