Kenneth W. Shaheen, M.D.,p.C.
Specialist in Troy, MI(View on Map)
Legal Business Name
Kenneth W. Shaheen, M.D.,p.C.
NPI Number
1093987927
NPI Type
Organization
Enumeration Date
04/01/2008
Specialties
(Taxonomies)Licenses
State
Michigan
License Number
KS048031
Contact
Information
Purpose
Mailing
Location
Address
2585 CROOKS RD
2585 CROOKS RD
City
Troy
Troy
State
MI
MI
Postal Code
48084-4702
48084-4702
Country
US
US
Telephone Number
(248) 283-1110
(248) 283-1110
Authorized Official
Name
Mrs. Michelle Porter
Title or Position
MEDICAL BILLER
Telephone Number
(248) 283-1110
Identifiers
Identifier
2406317142
Identifier State
MI
Identifier Issuer
BCBS OF MICHIGAN
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/01/2008
Provider Address
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