Individual provider · Type 1 NPI

Bethany R. Shanku, PA-C

Physician Assistant · Southfield, MI

NPI number 1851581573 Active

Practice location

26025 Lahser Rd Fl 3
Southfield, MI 48033-2606

Fax (248) 809-3378

Mailing address

26211 Central Park Blvd Ste 201
Southfield, MI 48076-4158

Other practice locations

  • 4967 Crooks Rd Ste 100, Troy, MI 48098-5812 · (248) 846-8060
  • 33200 W 14 Mile Rd Ste 220, West Bloomfield, MI 48322-3586 · (248) 855-7400
  • 1350 Kirts Blvd Ste 160, Troy, MI 48084-4852 · (248) 244-9426
  • 24255 W 13 Mile Rd Ste 100, Bingham Farms, MI 48025-4345 · (248) 988-8085
  • 45816 Schoenherr Rd, Shelby Township, MI 48315-6028 · (586) 842-2400
  • 26750 Providence Pkwy Ste 220, Novi, MI 48374-1212 · (248) 596-0412
  • 30575 Woodward Ave, Royal Oak, MI 48073-0980 · (248) 280-8550
  • 26025 Lahser Rd Fl 2, Southfield, MI 48033-2606 · (248) 663-1900
  • 17877 W 14 Mile Rd, Beverly Hills, MI 48025-3127 · (248) 644-3920

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0796 (NH)
Medical Physician Assistant 363AM0700X015254 (NY)
Physician Assistant Primary 363A00000X5601007853 (MI)
Medical Physician Assistant 363AM0700XPA1507 (TN)

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…

2 other providers at this address

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About NPI 1851581573

Bethany R. Shanku, PA-C's National Provider Identifier is 1851581573, issued on Jul 30, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Southfield, MI. The record was last updated on Apr 15, 2026.