Provider Demographics
NPI:1659066843
Name:JHA, SHREEJA (MBBS)
Entity Type:Individual
Prefix:
First Name:SHREEJA
Middle Name:
Last Name:JHA
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TRINITY HEALTH LAVONIA HOSPITAL
Mailing Address - Street 2:36475 FIVE MILE RD
Mailing Address - City:LIVONIA
Mailing Address - State:PA
Mailing Address - Zip Code:48154
Mailing Address - Country:US
Mailing Address - Phone:734-655-2727
Mailing Address - Fax:734-655-8430
Practice Address - Street 1:TRINITY HEALTH ACADEMIC INTERNAL MEDICINE -NORTHWEST LI
Practice Address - Street 2:37595 SEVEN MILE RD., SUITE 340
Practice Address - City:LIVONIA
Practice Address - State:PA
Practice Address - Zip Code:48152
Practice Address - Country:US
Practice Address - Phone:734-793-2470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-05
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty