Individual provider · Type 1 NPI

Selena Shamo

Physician Assistant · Detroit, MI

NPI number 1124844014 Active

Practice location

259 Mack Ave Ste 2590
Detroit, MI 48201-2427

Call (313) 577-1716 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1235097 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1124844014

Selena Shamo's National Provider Identifier is 1124844014, issued on Nov 25, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Detroit, MI. The record was last updated on Jun 18, 2025.