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NPI Code Detail

MEDICARE: MS. SANIYAH SHAHID

MEDICARE: MS. SANIYAH SHAHID
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
11041C0700XClinical Social Worker6801108654MI

General Provider Information

NPI Number : 1982015269
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SANIYAH SHAHID
Provider Business Mailing Address
First Line : 50914 ROCKINGHAM DR
Second Line :
City : CANTON
State : MI
Zip : 48188-2885
Country : US
Telephone Number : 734-730-1502
Fax Number :
Provider Business Practice Location Address
First Line : 5958 N CANTON CENTER RD STE 900
Second Line :
City : CANTON
State : MI
Zip : 48187-2740
Country : US
Telephone Number : 734-737-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2014
Last Update Date : 10/01/2021

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Directions to “ MS. SANIYAH SHAHID ” Practice Location

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