Healthcare Provider Details

I. General information

NPI: 1841103058
Provider Name (Legal Business Name): REEM SHALABI MD
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 BEAUBIEN ST
DETROIT MI
48201-2119
US

IV. Provider business mailing address

1350 W BETHUNE ST APT 1803
DETROIT MI
48202-2666
US

V. Phone/Fax

Practice location:
  • Phone: 313-745-1892
  • Fax:
Mailing address:
  • Phone: 313-524-3895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: