Provider Demographics
NPI:1770584179
Name:DHARMANI, SHEELA A (MD)
Entity type:Individual
Prefix:DR
First Name:SHEELA
Middle Name:A
Last Name:DHARMANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 W AVON RD
Mailing Address - Street 2:BULIDING B STE 13
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-2760
Mailing Address - Country:US
Mailing Address - Phone:248-651-6631
Mailing Address - Fax:248-651-0671
Practice Address - Street 1:940 W AVON RD
Practice Address - Street 2:BULIDING B STE 13
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-2760
Practice Address - Country:US
Practice Address - Phone:248-651-6631
Practice Address - Fax:248-651-0671
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISD042629207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
4033168OtherAETNA
MI2125917Medicaid
MI1606324601OtherBCBS
B42934Medicare UPIN
MI2125917Medicaid