Vinod B Shidham MD

NPI 1710939566 - Pathology - 207ZP0102X

NPI Details
NPI 1710939566
Gender Male
Enumeration Date 05/17/2006
Last Updated 02/19/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
3990 JOHN R ST
HARPER HOSPITAL PATHOLOGY
DETROIT MI, 48201-2018, US
Phone (313) 745-8555
Fax (313) 745-9299
Business Location
1560 E MAPLE RD
SUITE 400-CREDENTIALING
TROY MI, 48083-1189, US
Phone (248) 581-5974
Fax (248) 581-5640
Toxanomy
Taxonomy Code 207ZP0102X
License State Wisconsin
License Number 40376
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According to our database, Dr. Vinod B Shidham MD NPI is 1710939566, taxonomy code is 207ZP0102X and license number is 40376, license state is located at Wisconsin. Vinod B Shidham MD physically located at 3990 John R St, Detroit MI, 48201-2018. NPI Number Vinod B Shidham MD has the Individual type.

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1710939566 NPI number is provided on an as is basis without warranty of any kind. 1710939566 is maintained by the National Plan & Provider Enumeration System. The contents of Vinod B Shidham MD are for informational purposes only.