Melody Shaw is a Medical in Detroit, Michigan. Melody Shaw practices all healthcare services and medical treatments related to Medical. The NPI Number for Melody Shaw is 1700905601. The last update date is 2015-07-29.
Melody Shaw's current location address is 3990 John R St, Detroit, Michigan. You can contact this provider via phone number 3137458040. The mailing address for Melody Shaw is 3990 John R St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melody Shaw |
|---|---|
| Address | 3990 John R St, Detroit, Michigan |
| Phone Number | 3137458040 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1700905601 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2015-07-29 |
Provider Mailing Address Detail
| Address | 3990 John R St |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482012018 |
| Phone Number | 3137458040 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 5601004921 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique provider identifier assigned to Melody Shaw?
The Melody Shaw has been issued the NPI (National Provider Identifier) 1700905601 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Melody Shaw located?
The Melody Shaw is located at 3990 John R St, Detroit, MI 482012018.
What is the Melody Shaw's area of specialization and corresponding taxonomy classification?
The Melody Shaw's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.
On what date did Melody Shaw receive its 1700905601 assignment from the Centers for Medicare & Medicaid Services?
The Melody Shaw was assigned its 1700905601 on 2007-03-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Melody Shaw most recently updated or revised?
The information pertaining to Melody Shaw, including its address, specialty, and other relevant details, was last updated or revised on 2015-07-29.