Healthcare Provider Details

I. General information

NPI: 1144498650
Provider Name (Legal Business Name): SHEELA A. DHARMANI, M.D., F.A.C.O.G., PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2008
Last Update Date: 02/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

940 W AVON RD BUILDING B, SUITE 13
ROCHESTER HILLS MI
48307-2760
US

IV. Provider business mailing address

940 W AVON RD BUILDING B, SUITE 13
ROCHESTER HILLS MI
48307-2760
US

V. Phone/Fax

Practice location:
  • Phone: 248-651-6631
  • Fax: 248-651-0671
Mailing address:
  • Phone: 248-651-6631
  • Fax: 248-651-0671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberSD042629
License Number StateMI

VIII. Authorized Official

Name: DR. SHEELA A. DHARMANI
Title or Position: OWNER
Credential: M.D.
Phone: 248-651-6631