Individual
SORA SHEENA KASHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 444-4970
Mailing address
6268 SILVERBROOK W, WEST BLOOMFIELD, MI 48322-1029
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
363LF0000X
MI
Other
Enumeration date
08/31/2019
Last updated
04/01/2021
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