IndividualActive
Mira Shah, M.D.
NPI 1740506351 · Therapeutic Radiology Physician · Detroit, MI
Provider details
- NPI number
- 1740506351
- Entity type
- Individual
- Primary specialty
- Therapeutic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 4301096685 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2799 W Grand Blvd # M2
Detroit, MI 48202
Phone: (313) 916-1021
Fax: (313) 916-3264
Approximate (ZIP-level) locationGet directions
Mailing address
2799 W Grand Blvd
Detroit, MI 48202-2689
Additional practice locations (1)
- 6777 W Maple RdWest Bloomfield, MI 48322-3013Phone: (248) 661-6487Fax: (313) 661-7164
Registry dates
- Enumerated
- 2010-04-08
- Last updated
- 2018-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.