# SHISHIR SENAPATI MD PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285718759
- **Authorized official:** DR. SHISHIR K SENAPATI MD (PHYSICIAN OWNER)
- **Authorized official phone:** (586) 284-9444

## Contact information

- **Practice address:** 43211 DALCOMA DR, \#3, CLINTON TWP, MI 48038-6309
- **Practice address phone:** (586) 263-9355
- **Practice address fax:** (586) 979-9810
- **Mailing address:** 43211 DALCOMA DR, \#3, CLINTON TWP, MI 48038-6309
- **Mailing address phone:** (586) 263-9355
- **Mailing address fax:** (586) 263-6835

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 55066528 | MI | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 07/08/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 10158860001 | WELLNESS PLAN | — |
| 01 | — | 1105015402 | BCBS | — |
| 01 | — | 135474 | GREAT LAKES | — |
| 05 | — | 480005810 | — | MI |
| 01 | — | 7995388 | AETNA | — |
| 01 | — | 867733 | CAPE HEALTH PLAN | — |
| 01 | — | H33108 | HAP | — |
| 01 | — | NC011918 | MCARE PPO | — |
| 01 | — | P00283142 | MEDICARE TRAVELER | — |