Boothe, Shastri

Boothe, Shastri is an individual health care provider with primary practice located at 18161 W 13 Mile Rd Suite A-2, Southfield MI 48076-1113. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Boothe, Shastri can be contacted via phone (248) 642-9893.

Contact Information

Primary practice address
18161 W 13 Mile Rd Suite A-2 Southfield MI 48076-1113
Phone: (248) 642-9893
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601004456 Michigan

Profile Details

NPI number 1235177569
LBN Legal business name Boothe, Shastri
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jul 24th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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