CHRISTINA MUBARAK SHANTI M.D. NPI 1124015565

NPI Information

Christina Mubarak Shanti, M.D. is a pediatric surgery surgery in Detroit, MI. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Christina Mubarak Shanti, M.D. NPI is 1124015565. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

HENRY FORD HEALTH SYSTEM
2799 WEST GRAND BOULEVARD
DETROIT, MI
ZIP 48202
Phone: (313) 916-9106
Fax: (313) 916-1249

The NPI 1124015565 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/30/2005 and was last updated on 3/17/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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