Individual provider · Type 1 NPI

Shastri Boothe, PA

Physician Assistant · Southfield, MI

NPI number 1235177569 Active

Practice location

18161 W 13 Mile Rd, Suite A-2
Southfield, MI 48076-1113

Call (248) 642-9893 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601004456 (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 1235177569

Shastri Boothe, PA's National Provider Identifier is 1235177569, issued on Jun 2, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Southfield, MI. The record was last updated on Jul 24, 2007.