MEDICARE: DR. SHELLEY A NEPA D.O.

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	208100000X	Physical Medicine & Rehabilitation Physician	SN011994	MI

General Provider Information

NPI Number	:	1578568895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHELLEY A NEPA D.O.

Provider Business Mailing Address
First Line	:	2300 HAGGERTY RD STE 2130
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48323-2191
Country	:	US
Telephone Number	:	248-669-2040
Fax Number	:	248-669-2046

Provider Business Practice Location Address
First Line	:	2300 HAGGERTY RD STE 2130
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48323-2191
Country	:	US
Telephone Number	:	248-669-2040
Fax Number	:	248-669-2046

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

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	02/10/2023

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1427037282 — DR. STEVEN JOE KIN D.O.
Practice Location Address:

2300 HAGGERTY RD STE 2130
WEST BLOOMFIELD, MI
48323-2191

Practice Phone: 248-668-1104
Practice Fax: 248-686-1096

1760424022 — ANESTHESIA SERVICES ASSOCIATES, PC ZMIP
Practice Location Address:

2300 HAGGERTY RD
WEST BLOOMFIELD, MI
48323-2191

Practice Phone: 248-624-7246
Practice Fax:

1992899827 — DR. SUZAN MOKHAYESH SYED MD
Practice Location Address:

2300 HAGGERTY RD STE 2140
WEST BLOOMFIELD, MI
48323-2191

Practice Phone: 248-669-5050
Practice Fax: 248-669-1700

1033570577 — INTEGRATED & PREVENTATIVE HEALTH CARE ASSOCIATES PLC
Practice Location Address:

2300 HAGGERTY RD STE 2140
WEST BLOOMFIELD, MI
48323-2191

Practice Phone: 248-669-5050
Practice Fax: 248-669-1700

1053800649 — LEONTINE WALLACE RN, BSN
Practice Location Address:

2300 HAGGERTY RD STE 2110
WEST BLOOMFIELD, MI
48323-2191

Practice Phone: 248-926-1420
Practice Fax: 248-926-5338

Directions to “ DR. SHELLEY A NEPA D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.