Provider Demographics
NPI:1306099718
Name:LELE, SHRIRANG M (MD)
Entity type:Individual
Prefix:DR
First Name:SHRIRANG
Middle Name:M
Last Name:LELE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:28803 W. EIGHT MILE RD., SUITE 104
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152
Mailing Address - Country:US
Mailing Address - Phone:248-442-4948
Mailing Address - Fax:248-442-0701
Practice Address - Street 1:28803 W. EIGHT MILE RD., SUITE 104
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152
Practice Address - Country:US
Practice Address - Phone:248-442-4948
Practice Address - Fax:248-442-0701
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-29
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301037191207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery