Christina Mubarak Shanti
Pediatric Surgery
Henry Ford Health System 2799 West Grand Boulevard
Detroit
, Michigan 48202
Christina Mubarak Shanti
Pediatric Surgery
Henry Ford Health System 2799 West Grand Boulevard
Detroit
, Michigan 48202
(313) 916-9106
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Christina Mubarak Shanti
- Henry Ford Health System 2799 West Grand Boulevard
- Detroit, MI
- Zip : 48202
- Phone : (313) 916-9106
Second Address
- Christina Mubarak Shanti
- Henry Ford Health System 2799 West Grand Boulevard
- Detroit, MI
- Zip : 48202
- Fax : (313) 916-1249
- Phone : (313) 916-9106
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0120X | Pediatric Surgery | 4301070255 | MI |
National Provider Identifier
| NPI | 1124015565 |
|---|---|
| Provider Name | Christina Mubarak Shanti |
| First Address | Detroit, MI 48202 |
| Second Address | Detroit, MI 48202 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/09/2005 |
| Last Update Date | 17/03/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1396817714 | GROUP NPI (01) | MI |
| 4735568 | (05) | MI |
| 4735577 | (05) | MI |
| 4864707 | (05) | MI |
| CS070255 | CHAMPUS-CHAMPUS (01) | |
| CS070255 | COMMERCIAL-COMMERCIAL NUMBER (01) | |
| I30769 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.