Supriya Shore
Internist Internist - Cardiovascular Disease Advanced Heart Failure and Transplant Cardiologist
7500 Challis Rd 2nd Floor
Brighton
, Michigan 48116-9416
Supriya Shore
Internist Internist - Cardiovascular Disease Advanced Heart Failure and Transplant Cardiologist
7500 Challis Rd 2nd Floor
Brighton
, Michigan 48116-9416
(734) 647-5299
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About
Features
Specialties
- Internist
- Advanced Heart Failure and Transplant Cardiologist
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Supriya Shore
- 3621 S State St
- Ann Arbor, MI
- Zip : 48108-1633
- Phone : (734) 647-5299
Second Address
- Supriya Shore
- 7500 Challis Rd 2nd Floor
- Brighton, MI
- Zip : 48116-9416
- Phone : (810) 263-4000
Reviews
FAQs
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Is Supriya Shore board certified?
What type of doctor is Supriya Shore
In what state does Supriya Shore practice in?
Where is Supriya Shore ’s practice located?
What is Supriya Shore ’s gender?
Is Supriya Shore a sole practitioner?
Is Supriya Shore accepting new patients?
What languages does Supriya Shore speak?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 4301114850 | MI |
| N | 111NI0900X | Internist | 4301114850 | MI |
| N | 207R00000X | Internist | 52579 | CO |
| N | 111NI0900X | Internist | 52579 | CO |
| Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 4301114850 | MI |
| N | 207RC0000X | Internist - Cardiovascular Disease | 4301114850 | MI |
National Provider Identifier
| NPI | 1609140029 |
|---|---|
| Provider Name | Supriya Shore |
| First Address | Ann Arbor, MI 48108-1633 |
| Second Address | Brighton, MI 48116-9416 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/03/2012 |
| Last Update Date | 25/02/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 024175 | KAISER COMMERCIAL NUMBET (01) | CO |
| 19509286 | (05) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.