Kenneth W. Shaheen, M.d.,p.c.

NPI #1093987927 in Troy, Michigan

Provider Information

NPI Number: 1093987927
Entity Type: Organization
Organization Name: Kenneth W. Shaheen, M.d.,p.c.
Primary Specialty: Specialist
Enumeration Date: Apr 1, 2008
Last Updated: Apr 1, 2008

Practice Location

Address: 2585 CROOKS RD
City: Troy
State: Michigan
ZIP Code: 48084-4702
Phone: (248) 283-1110

Authorized Official

Name: MRS. MICHELLE MARIE PORTER
Title: MEDICAL BILLER
Phone: (248) 283-1110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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