Organization · NPI-2
Nidhi Shishu
Internal Medicine · Bloomfield, MI
NPI number1801307871
StatusActive
Last updated in NPPESOct 18, 2017
Details
- NPI
- 1801307871
- Entity type
- Organization (NPI-2)
- Legal business name
- Nidhi Shishu
- Organization subpart
- No
- Enumeration date
- Oct 18, 2017
- Last updated
- Oct 18, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
4521 River TrlBloomfield, MI 48301-3642
Phone 248-840-8289
Mailing address
4521 River TrlBloomfield, MI 48301-3642
Authorized official
Nidhi Shishu
Owner
2488408289
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