Kenneth W Shaheen is a Specialist in Troy, Michigan. Kenneth W Shaheen practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kenneth W Shaheen is 1114928199. The last update date is 2010-07-07.
Kenneth W Shaheen's current location address is 2585 Crooks Rd, Troy, Michigan. You can contact this provider via phone number 2482831110 and fax number 2482831114. The mailing address for Kenneth W Shaheen is 2585 Crooks Rd, Troy, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth W Shaheen |
|---|---|
| Address | 2585 Crooks Rd, Troy, Michigan |
| Phone Number | 2482831110 |
| Fax Number | 2482831114 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1114928199 |
|---|---|
| Provider Enumeration Date | 2005-08-02 |
| Last Updated Date | 2010-07-07 |
Provider Mailing Address Detail
| Address | 2585 Crooks Rd |
|---|---|
| City | Troy |
| State | Michigan (MI) |
| Post Code | 480844702 |
| Phone Number | 2482831110 |
| Fax Number | 2482831114 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 2086S0122X |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2761424 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kenneth W Shaheen by the Centers for Medicare & Medicaid Services?
The Kenneth W Shaheen has been assigned the NPI (National Provider Identifier) 1114928199 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Kenneth W Shaheen's facilities are situated?
The facilities of Kenneth W Shaheen are physically located at the following address: 2585 Crooks Rd, Troy, MI, 480844702.
What is Kenneth W Shaheen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kenneth W Shaheen's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did the Kenneth W Shaheen receive the assignment of its 1114928199 from the Centers for Medicare & Medicaid Services?
The Kenneth W Shaheen was issued its 1114928199 by the Centers for Medicare & Medicaid Services on 2005-08-02.
When was the Kenneth W Shaheen's information last updated?
The Kenneth W Shaheen's information was last updated on 2010-07-07.