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

Hollywood Peditric Clinic

Organization Pediatrics Physician · NPI 1851568638

Hollywood Peditric Clinic provides Pediatrics Physician services in Roseville, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008

Practice location Address checks out

18811 E 10 Mile Rd
Roseville, MI 48066-3931 Not confirmed with CMS for 18 years — call before visiting
Phone: (586) 771-2340
Fax: (586) 771-7323
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4301045777 (MI)

Record details

NPI number1851568638
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rekha Shah — President · (586) 771-2340
NPI enumeratedMay 12, 2008
Last updated in NPPESMay 12, 2008
Mailing address18811 E 10 Mile Rd, Roseville, MI 48066-3931

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