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NPI 1649702572

NPI 1649702572 : SHIKHA SHAILLY : ANN ARBOR, MI

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General NPI Number Information
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    NPI Number           |    1649702572
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    Entity Type          |    Individual 
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    Provider Name        |    SHIKHA SHAILLY
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/30/2017
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    Last Update Date     |    07/29/2025
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Provider Practice Location Address
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    Address Line         |    1500 E MEDICAL CENTER DR 
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    City                 |    ANN ARBOR
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    State                |    MI
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    Zip                  |    48109-5000
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    Country              |    US
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    Telephone            |    734-936-4000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 780125 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19178-0125
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    Country              |    US
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    Telephone            |    804-922-4844
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RN0300X
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    Taxonomy Name        |    Nephrology Physician
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    License Number       |    4301506638
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    License Number State |    MI
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