Healthcare Provider Details

I. General information

NPI: 1801844683
Provider Name (Legal Business Name): SHIFA HEALTHCARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 10/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44968 FORD RD SUITE G
CANTON MI
48187-5085
US

IV. Provider business mailing address

44968 FORD RD SUITE G
CANTON MI
48187-5085
US

V. Phone/Fax

Practice location:
  • Phone: 734-927-6950
  • Fax: 734-927-6954
Mailing address:
  • Phone: 734-927-6950
  • Fax: 734-927-6954

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. KAFEEL KHAN
Title or Position: PRESIDENT
Credential:
Phone: 248-470-5282