- Practice location
- 2799 W Grand Blvd, Detroit, MI 48202-2689
- Phone
- 313-916-2600
- Fax
- —
- Last updated
- May 4, 2026
Shivesh Shah is a Student in an Organized Health Care Education/Training Program based in Detroit, MI. Shivesh Shah practices in Detroit, MI. The NPI Number for Shivesh Shah is 1861329070 and holds a License No. 4351056400 (MI). The current practice location address for Shivesh Shah is 2799 W Grand Blvd, Detroit, MI 48202-2689 and can be reached out via phone at 313-916-2600.
Provider Profile Details
- NPI Number
- 1861329070
- Provider Name
- Shivesh Shah
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2799 W Grand Blvd, Detroit, MI 48202-2689
- Phone Number
- 313-916-2600
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 4, 2026
- Last Update Date
- May 4, 2026
- Certification Date
- May 4, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2799 W Grand Blvd
Detroit, MI 48202-2689 - City
- Detroit
- State
- Michigan
- Zip
- 48202-2689
- Phone Number
- 313-916-2600
Provider Business Mailing Address Details
- Address
- 8 Ellery Ln
Burlington, MA 01803-1851 - City
- Burlington
- State
- MA
- Zip
- 01803-1851
- Phone Number
- 978-979-1969
License Information
- License Number
- 4351056400
- License State
- MI
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Student in an Organized Health Care Education/Training Program providers near Detroit, MI
View all Student in an Organized Health Care Education/Training Program providers in Detroit →- Dr. Hussein Abdul NabiStudent in an Organized Health Care Education/Training Program · NPI 1437090297
- Haroutioun Garabedian, MDStudent in an Organized Health Care Education/Training Program · NPI 1548950330
- Kenneth X Roman Hernandez, MDStudent in an Organized Health Care Education/Training Program · NPI 1366298721
- Nour Adra, MDStudent in an Organized Health Care Education/Training Program · NPI 1336937739
Frequently Asked Questions
What is the NPI number of Shivesh Shah?
The NPI number of Shivesh Shah is 1861329070. It was assigned on May 4, 2026 and is currently active in the NPPES registry.
What is the specialty of Shivesh Shah?
Shivesh Shah is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in MI under license number 4351056400.
Where does Shivesh Shah practice?
The practice location is 2799 W Grand Blvd, Detroit, MI 48202-2689. The office can be reached at 313-916-2600 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861329070 directly on the NPPES registry website.