# GASSAN SHAHIN MD PC

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

## Provider details

- **NPI number:** 1538401658
- **Authorized official:** GASSAN SHAHIN M.D. (PRESIDENT)
- **Authorized official phone:** (313) 570-2392

## Contact information

- **Practice address:** 31471 NORTHWESTERN HWY, SUITE \# 3, FARMINGTON HILLS, MI 48334
- **Practice address phone:** (313) 570-2392
- **Mailing address:** 27328 CLAIRVIEW DR, DEARBORN, MI 48127
- **Mailing address phone:** (313) 570-2392
- **Mailing address fax:** (313) 278-4266

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | — | NULL | Yes |
| 2085B0100X | Body Imaging Physician | — | — | Yes |
| 2085N0700X | Neuroradiology Physician | — | NULL | — |
| 2085N0700X | Neuroradiology Physician | — | — | — |

## Other

- **Enumeration date:** 03/27/2013
- **Last updated:** 08/01/2013