Provider Demographics
NPI:1073589040
Name:DOSHI, SHIRIN ELIZABETH (DO)
Entity Type:Individual
Prefix:DR
First Name:SHIRIN
Middle Name:ELIZABETH
Last Name:DOSHI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1200 E MICHIGAN AVE STE 245A
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-1800
Mailing Address - Country:US
Mailing Address - Phone:517-364-5772
Mailing Address - Fax:517-364-5764
Practice Address - Street 1:1200 E MICHIGAN AVE STE 245A
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-1800
Practice Address - Country:US
Practice Address - Phone:517-364-5772
Practice Address - Fax:517-364-5764
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101014952207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI080F370780OtherBCBSM
MI4791182Medicaid
MI4791182Medicaid
MII21879Medicare UPIN