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NPI Code Detail

MEDICARE: MICHELLE KIRSHEN MD

MEDICARE: MICHELLE KIRSHEN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology PhysicianMD060516LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417955782
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE KIRSHEN MD
Provider Business Mailing Address
First Line : PO BOX 951847
Second Line :
City : CLEVELAND
State : OH
Zip : 44193-0020
Country : US
Telephone Number : 866-338-6471
Fax Number :
Provider Business Practice Location Address
First Line : 155 WILSON AVE
Second Line :
City : WASHINGTON
State : PA
Zip : 15301-3336
Country : US
Telephone Number : 724-225-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2005
Last Update Date : 07/18/2007

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