Shivakumar Deva MD

NPI 1750427159 - Internal Medicine - 207R00000X

NPI Details
NPI 1750427159
Gender Male
Enumeration Date 01/30/2007
Last Updated 07/10/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
21540 W 11 MILE RD
STE 200
SOUTHFIELD MI, 48076-3843, US
Phone (248) 352-2000
Fax (248) 352-8800
Business Location
PO BOX 1239
TROY MI, 48099-1239, US
Phone (248) 824-6600
Fax (855) 618-6655
Taxonomy Code 207R00000X
License State Michigan
License Number 4301089259
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According to our database, Shivakumar Deva MD NPI is 1750427159, taxonomy code is 207R00000X and license number is 4301089259, license state is located at Michigan. Shivakumar Deva MD physically located at 21540 W 11 Mile Rd, Southfield MI, 48076-3843. NPI Number Shivakumar Deva MD has the Individual type.

1750427159 NPI number is provided on an as is basis without warranty of any kind. 1750427159 is maintained by the National Plan & Provider Enumeration System. The contents of Shivakumar Deva MD are for informational purposes only.