Individual
HESHAM SHABAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
4301111998
MI
207RN0300X
Nephrology Physician
Primary
4301111998
MI
390200000X
Student in an Organized Health Care Education/Training Program
MT196159
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
11/09/2009
Last updated
08/04/2017
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