Nidhi Shishu

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NIDHI SHISHU

Practice address

4521 River TRL
Bloomfield, MI 48301-3642

Phone

(248) 840-8289

NPI assigned

Oct 18, 2017

Last updated

Oct 18, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nidhi ShishuNPI 1942280177

Title

Owner

Phone

(248) 840-8289

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nidhi M Shishu, MD

  • Internal Medicine Physician
  • Beverly Hills, MI
  • NPI 1942280177
  NPD Authorized official

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1801307871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4521 RIVER TRL",
            "city": "BLOOMFIELD",
            "state": "MI",
            "postal_code": "483013642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4521 RIVER TRL",
            "city": "BLOOMFIELD",
            "state": "MI",
            "postal_code": "483013642",
            "telephone_number": "248-840-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIDHI SHISHU",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "SHISHU",
        "authorized_official_first_name": "NIDHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-840-8289"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Bloomfield, MI
• Providers in Bloomfield, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.