MEDICARE: SANDI KASHAT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	5302415276	MI

General Provider Information

NPI Number	:	1164370243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDI KASHAT

Provider Business Mailing Address
First Line	:	56805 VAN DYKE AVE
Second Line	:
City	:	SHELBY TOWNSHIP
State	:	MI
Zip	:	48316-5894
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	56805 VAN DYKE AVE
Second Line	:
City	:	SHELBY TOWNSHIP
State	:	MI
Zip	:	48316-5894
Country	:	US
Telephone Number	:	586-786-1856
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	03/17/2026

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Directions to “ SANDI KASHAT ” Practice Location

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