Individual
DR. SHAKEELA SHAKOOR II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301078037
MI
208M00000X
Hospitalist Physician
Primary
4301078037
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265489819
—
MI
01
—
70-0-F32947-0
BCBS CPIN #
MI
Enumeration date
05/28/2006
Last updated
08/03/2016
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