DR. ROSHNI MUKESH SHAH (NPI# 1962705004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962705004 |
| Entity Type | Individual |
| Full Name | DR. ROSHNI MUKESH SHAH |
| Other Name | ROSHNI SHAH PATEL |
| Credential | D.O. |
| Practice Address |
22250 Providence Dr Ste 705 Southfield MI 48075-6215 |
| Practice Telephone | 2485529858 |
| Practice Fax Number | 2485529510 |
| Mailing Telephone | 2485529858 |
| Mailing Fax Number | 2485529510 |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
5101019730 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 0B510740 | 01 |
| MI | 1962705004 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3399 Pollock Rd, #a, Grand Blanc, MI 484398395 | 8106030170 | 8105791705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073999090 | Roshni Shah | Optometrist | 419 Vineyard Town Ctr, Morgan Hill, CA 95037-5631 | 2015-07-31 |
| 1053974642 | Roshni Shah | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2019-04-18 |
| 1972073286 | Roshni Shah | Obstetrics & Gynecology | Cancer Treatment Centers of America, 2520 Elisha Avenue, Chicago, IL 60099 | 2018-11-29 |
| 1407368244 | Roshni Shah | Psychologist | 5550 Touhy Ave Ste 404, Skokie, IL 60077-3253 | 2017-11-02 |
| 1689128050 | Roshni Shah | Pharmacist | 1522 W Morris St, Indianapolis, IN 46221-1629 | 2016-08-15 |
| 1205231677 | Roshni Shah | Pharmacist | Rt 517 Village Square Mall, Allamuchy, NJ 07820 | 2014-10-28 |
| 1477848620 | Roshni Shah | Pharmacist | 187 Brandon Town Center Dr, T0812, Brandon, FL 33511-4754 | 2011-06-16 |
| 1821283938 | Roshni Shah | Internal Medicine | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2007-09-11 |
| 1942414248 | Roshni Shah | Physician Assistant | 1771 Utica Ave, Brooklyn, NY 11234-2120 | 2007-05-09 |
| Street Address |
22250 PROVIDENCE DR STE 705 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-6215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841852951 | Beronica Esshaki | Nurse Practitioner | 22250 Providence Dr Ste 705, Southfield, MI 48075-6215 | 2019-06-28 |
| 1144886888 | Ashley Effner | Physician Assistant | 22250 Providence Dr Ste 705, Southfield, MI 48075 | 2019-05-17 |
| 1316455215 | Melissa Courtney Gasiorek | Physician Assistant | 22250 Providence Dr Ste 705, Southfield, MI 48075-6215 | 2018-01-14 |
| 1912427345 | Harshil Anurag Patel | Student in an Organized Health Care Education/Training Program | 22250 Providence Dr Ste 705, Southfield, MI 48075-6215 | 2017-06-27 |
| 1659636140 | Christopher Joseph Bradley | Internal Medicine | 22250 Providence Dr Ste 705, Southfield, MI 48075-6215 | 2012-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811468895 | Telemedico Physicians of Michigan | Internal Medicine | 24359 Northwestern Hwy Ste 200, Southfield, MI 48075-2597 | 2018-12-17 |
| 1467749424 | Robert M Marcotte | Internal Medicine | 27177 Lahser Rd Ste 103, Southfield, MI 48034-8467 | 2011-06-28 |
| 1356568828 | Tareq Yousef Goussous | Internal Medicine | 16001 West 9 Mile Road, Southfield, MI 48075 | 2007-04-19 |
| 1831284991 | Cardiovascular Associates PC | Internal Medicine | 27177 Lahser, Suite 103, Southfield, MI 48034 | 2006-10-04 |
| 1982643722 | Raj & Associates M.d. P.C. | Internal Medicine | 26222 Telegraph Rd, Ste 100, Southfield, MI 48034 | 2006-06-06 |
| 1760467054 | Franklin E Hull | Internal Medicine | 22250 Providence Dr., Ste #705, Southfield, MI 48075 | 2005-12-09 |
| 1760472328 | Kamalesh Lahiri | Internal Medicine | 18500 W 12 Mile Rd, Suite 1, Southfield, MI 48076-2674 | 2005-10-25 |
| 1265963797 | Cameron Whitler | Internal Medicine | 22250 Providence Dr, Suite 705, Southfield, MI 48075-4818 | 2017-03-26 |
| 1508214321 | Andrew Davis Assaf | Internal Medicine | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2016-06-02 |
| 1114304755 | Midwest Comprehensive Cardiovascular Care Pllc | Internal Medicine | 27209 Lahser Rd, Suite 226, Southfield, MI 48034-8401 | 2015-05-04 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
Please comment or provide details below to improve the information on DR. ROSHNI MUKESH SHAH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.