Individual provider · Type 1 NPI

Kenneth W. Shaheen, MD

Specialist · Troy, MI

NPI number 1114928199 Active · reactivated Mar 27, 2006

Practice location

2585 Crooks Rd
Troy, MI 48084-4702

Fax (248) 283-1114

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X2086S0122X (MI)

Specialist: 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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About NPI 1114928199

Kenneth W. Shaheen, MD's National Provider Identifier is 1114928199, issued on Aug 2, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Troy, MI. The record was last updated on Jul 7, 2010.