Individual
THOMAS M SHEHAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5300 ELLIOTT DR, YPSILANTI, MI 48197-8632
(734) 434-6262
(734) 712-2820
Mailing address
5300 ELLIOTT DR, YPSILANTI, MI 48197-8632
(734) 434-6262
(734) 712-2820
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
065691
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023609
MIDWEST HEALTH PLAN
MI
01
—
0812248
BCBS INDIVIDUAL
MI
01
—
0H14989
BCBS GROUP
MI
01
—
110239995
MEDICARE RAILROAD PTAN
MI
01
—
28223
AETNA
MI
01
—
3949257
CIGNA
MI
05
—
4399723
—
MI
Enumeration date
01/13/2006
Last updated
01/14/2010
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