| Doctor Name: | MRS. DEESHALI SHAH |
| NPI Number: | 1023306594 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | 5101019537 |
| Business Practice Address: | 28050 Grand River Ave Farmington Hills, MI - 483365919 |
| Business Phone Number: | 5597897547 |
| Business Fax Number: | |
| Mailing Address: | 3602 Cherry Creek Ln, STERLING HEIGHTS |
| State: | MI |
| Postal Code: | 483141033 |
| Phone Number: | 5597897547 |
| Fax Number: | |
| NPI Enumeration Date: | 07/18/2011 |
| NPI Last Update Date: | 07/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 5101019537 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |