Individual
DR. SHAWN SHAFIK GAPPY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23411 JOHN R RD STE 4, HAZEL PARK, MI 48030-1404
(248) 607-3114
(248) 307-7188
Mailing address
PO BOX 795, HAZEL PARK, MI 48030-0795
(248) 607-3114
(248) 307-7188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301103153
MI
207W00000X
Ophthalmology Physician
Primary
4301103153
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366932584
—
MI
Enumeration date
05/23/2013
Last updated
02/27/2019
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