MEDICARE: GHADEER SHABAN

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1912747775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GHADEER SHABAN

Provider Business Mailing Address
First Line	:	20225 ANN ARBOR TRL
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-2690
Country	:	US
Telephone Number	:	313-254-2539
Fax Number	:

Provider Business Practice Location Address
First Line	:	20225 ANN ARBOR TRL
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-2690
Country	:	US
Telephone Number	:	313-254-2539
Fax Number	:

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

Provider Enumeration Date	:	05/29/2024
Last Update Date	:	05/29/2024

Similar Medicare Providers

1922951458 — SHIHID ALTURKI
Practice Location Address:

20225 ANN ARBOR TRL
DEARBORN HEIGHTS, MI
48127-2690

Practice Phone: 313-254-2539
Practice Fax:

1659305605 — DR. SAMIR SOTOUHI M.D.
Practice Location Address:

20225 ANN ARBOR TRL STE 100
DEARBORN HEIGHTS, MI
48127-2690

Practice Phone: 313-581-0003
Practice Fax: 313-581-3399

1164648473 — IBIN SINA CENTER FOR CARDIAC & VASCULAR DISEASE PLLC
Practice Location Address:

20225 ANN ARBOR TRL , SUITE A
DEARBORN HEIGHTS, MI
48127-2690

Practice Phone: 313-529-3939
Practice Fax: 888-828-7361

1649914334 — PRIORITY ONE HEALTH ESSENTIALS, PLLC
Practice Location Address:

20225 ANN ARBOR TRL
DEARBORN HEIGHTS, MI
48127-2690

Practice Phone: 313-757-7972
Practice Fax: 313-757-7952

1154015584 — 8TH PALACE LLC
Practice Location Address:

20225 ANN ARBOR TRL
DEARBORN HEIGHTS, MI
48127-2690

Practice Phone: 248-982-6722
Practice Fax:

1821985805 — SAMARA S SOUFANE
Practice Location Address:

20225 ANN ARBOR TRL
DEARBORN HEIGHTS, MI
48127-2690

Practice Phone: 313-254-2539
Practice Fax: 313-395-2198

Directions to “ GHADEER SHABAN ” 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.