IndividualActive
Supriya Shore, M.B.B.S
NPI 1609140029 · Advanced Heart Failure and Transplant Cardiology Physician · Brighton, MI
Provider details
- NPI number
- 1609140029
- Entity type
- Individual
- Primary specialty
- Advanced Heart Failure and Transplant Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.B.B.S
- Sex
- Female
- Sole proprietor
- No
- License
- 52579 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
7500 Challis Rd
2nd Floor
Brighton, MI 48116-9416
Phone: (810) 263-4000
Approximate (ZIP-level) locationGet directions
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Registry dates
- Enumerated
- 2012-03-02
- Last updated
- 2020-02-25
- Certified
- 2020-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.