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

Dr. Vinod B Shidham, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1710939566

Dr. Vinod B Shidham, MD is a Pathology in Detroit, Michigan. Qualified in 1977, 49 years ago. Practices with University Physician Group, a 402-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
49
Licensed in
MI
In the registry since
2006
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

3990 John R St Harper Hospital Pathology
Detroit, MI 48201-2018
Phone: (313) 745-8555
Fax: (313) 745-9299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 4301096896 (MI)

Record details

NPI number1710939566
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESMarch 9, 2023
Certification dateMarch 9, 2023

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Group practice University Physician Group — 402 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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