Ila Shah-Reddy, M.D. F.A.C.P

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301034420 Issued in MI

Practice address

22301 Foster Winter Dr
Second Floor
Southfield, MI 48075-3707

Phone

(248) 552-0620

Fax

(248) 552-0286

NPI assigned

Jan 5, 2007

Last updated

Jul 8, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hematology-Oncology Center of Michigan

  • Specialist
  • Southfield, MI
  • NPI 1609836428
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310083200000",
    "number": "1659428191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31500 TELEGRAPH RD",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254367",
            "telephone_number": "248-552-0620",
            "fax_number": "248-530-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22301 FOSTER WINTER DR",
            "address_2": "SECOND FLOOR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753707",
            "telephone_number": "248-552-0620",
            "fax_number": "248-552-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH-REDDY",
        "first_name": "ILA",
        "name_prefix": "Dr.",
        "credential": "M.D. F.A.C.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2011-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301034420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Sewick, LLMSW
• Kayla Sexton
• Ryan Seyburn
• Nabeel Shabo, MD
• Shadow Chiropractic Inc
• Bhumei Shah
• Dina Shah, MD
• Dipak P Shah, M.D.
• Juhi Shah, PT
• Mahendra Shah, MD

• Specialist in Southfield, MI
• Providers in Southfield, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.