Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301064320 | MI |
N | 111NI0900X | Internist | 4301064320 | MI |
N | 207RH0003X | Hematology & Oncology | 4301064320 | MI |
Y | 207RX0202X | Medical Oncology | 4301064320 | MI |
NPI | 1033156534 |
---|---|
Provider Name | Shirish Madhav Gadgeel |
First Address | Detroit, MI 48202-2608 |
Second Address | Detroit, MI 48202-2608 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2006 |
Last Update Date | 21/05/2020 |