IndividualActive
Vijaya Shastri, MD
NPI 1245299502 · Adolescent Medicine (Internal Medicine) Physician · Saint Joseph, MI
Provider details
- NPI number
- 1245299502
- Entity type
- Individual
- Primary specialty
- Adolescent Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- VS040679 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3950 Hollywood Rd
Suite 270
Saint Joseph, MI 49085-9159
Phone: (269) 983-3386
Fax: (269) 983-7943
Approximate (ZIP-level) locationGet directions
Mailing address
3950 Hollywood Rd
Saint Joseph, MI 49085-9159
Registry dates
- Enumerated
- 2006-03-23
- Last updated
- 2016-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.