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Dr. Abhishek Sushil Shastry, DO
Student in an Organized Health Care Education/Training Program in Southfield, Michigan
NPI 1689424921

Abhishek Sushil Shastry is a Student in an Organized Health Care Education/Training Program based in Southfield, MI. Abhishek Sushil Shastry practices in Southfield, MI and has the professional credentials of DO. The NPI Number for Abhishek Sushil Shastry is 1689424921 and holds a License No. (Michigan).

The current practice location address for Abhishek Sushil Shastry is 22250 Providence Dr Ste 301, Southfield, MI and can be reached out via phone at 248-849-3281.

Location: 22250 Providence Dr Ste 301, Southfield, MI, 48075-6211
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689424921
Provider Name
Abhishek Sushil Shastry
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
22250 Providence Dr Ste 301, Southfield, MI, 48075-6211
Phone Number
248-849-3281
Fax Number
Provider Enumeration Date
03/26/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
22250 Providence Dr Ste 301
City
Southfield
State
Michigan
Zip
48075-6211
Phone Number
248-849-3281
Fax Number
person
Provider Business Mailing Address Details
Address
22250 Providence Dr Ste 301
City
Southfield
State
Michigan
Zip
48075-6211
Phone Number
248-849-3281
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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