Nirad Shah, PT | |
13631 W 11 Mile Rd, Oak Park, MI 48237-1151 | |
(248) 298-0433 | |
Not Available |
Full Name | Nirad Shah |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 13631 W 11 Mile Rd, Oak Park, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124486360 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501015186 (Michigan) | Primary |
Provider Name | Hearts That Care Physical Therapy Services |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1992440481 PECOS PAC ID: 9739555368 Enrollment ID: O20221021001696 |
Mailing Address | Practice Location Address |
---|---|
Nirad Shah, PT 260 Coachman Dr Apt 3d, Troy, MI 48083-4728 Ph: (248) 688-6295 | Nirad Shah, PT 13631 W 11 Mile Rd, Oak Park, MI 48237-1151 Ph: (248) 298-0433 |
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