Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Dipak P Shah, MD

Individual provider Cardiovascular Disease Physician · NPI 1710129341

Dr. Dipak P Shah, MD is a Cardiac Electrophysiology in Southfield, Michigan. Graduated from University of Chicago, Pritzker School of Medicine in 2003, 23 years ago. Practices with Henry Ford Health Providence Hospital, a 350-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
23
Trained at
University of Chicago, Pritzker School of Medicine
Licensed in
MI
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

22250 Providence Dr Ste # 705
Southfield, MI 48075-4825
Phone: (248) 552-9858
Fax: (248) 552-9510
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Cardiac Electrophysiology Physician (primary) Taxonomy 207RC0001X · Licence 4301095878 (MI)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 4301095878 (MI)

Record details

NPI number1710129341
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2009
Last updated in NPPESJanuary 14, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIAC ELECTROPHYSIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolUNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Henry Ford Health Providence Hospital — 350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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