MIRA M. SHAH M.D. – NPI #1740506351
Radiology

MIRA SHAH is a radiologist located in DETROIT, MI. NPPES has assigned the NPI number 1740506351 to MIRA SHAH on April 08, 2010. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0203X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology

The NPI profile was previously updated about 8 years ago on Jul 10, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MIRA SHAH below.

NPI Profile for
MIRA M. SHAH

NPI Number
1740506351
Enumeration Date

(more than 16 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MIRA M. SHAH
Credentials
M.D.
Primary location
2799 W GRAND BLVD # M2
DETROIT, MI 48202
Phone: (313) 916-1021 Fax: (313) 916-3264
1 Other location(s):
6777 W Maple Rd
West Bloomfield, MI 48322-3013
Phone: (248) 661-6487
Fax: (313) 661-7164
Mailing address
2799 W GRAND BLVD
DETROIT, MI 48202-2689
Phone: (313) 399-7668 Fax: (313) 916-3264
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0203X
- Radiology / Radiation Oncology (Primary)		 MI 4301096685

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE - Graduated 2010
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MIRA SHAH is affiliated with the following medical group(s):
  • HOSPITAL
    • HENRY FORD HOSPITAL
      2799 W GRAND BLVD
      DETROIT, MI 48202
    • HENRY FORD WEST BLOOMFIELD HOSPITAL
      6777 WEST MAPLE ROAD
      WEST BLOOMFIELD, MI 48322

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