Shanti, Christina Mubarak

Shanti, Christina Mubarak is an individual health care provider with primary practice located at Henry Ford Health System 2799 West Grand Boulevard, Detroit MI 48202. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as her primary health care specialty. Shanti, Christina Mubarak can be contacted via phone (313) 916-9106.

Contact Information

Primary practice address
Henry Ford Health System 2799 West Grand Boulevard Detroit MI 48202
Phone: (313) 916-9106
Fax: (313) 916-1249
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 4301070255 Michigan

Profile Details

NPI number 1124015565
LBN Legal business name Shanti, Christina Mubarak
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Mar 17th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124015565 NPPES
Michigan Other 1396817714 GROUP NPI
Michigan MEDICAID 4735568 GROUP NPI
Michigan MEDICAID 4864707 GROUP NPI
Michigan MEDICAID 4735577 GROUP NPI
Michigan Other CS070255 GROUP NPI
Michigan Other CS070255 GROUP NPI

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