Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 35064130 | OH |
N | 207V00000X | Obstetrician & Gynecologist | 4301108843 | MI |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 4301108843 | MI |
NPI | 1922111376 |
---|---|
Provider Name | Dr. Joseph I Shawi |
First Address | Saginaw, MI 48602-5303 |
Second Address | Mt. Pleasant, MI 48858-3057 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2006 |
Last Update Date | 29/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F35151 | (02) |