IndividualActive
Behrooz Shabahang, MD
NPI 1417980707 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Grand Rapids, MI
Provider details
- NPI number
- 1417980707
- Entity type
- Individual
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301066890 (MI)
Specialties & taxonomies
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianPrimary208G00000XLicense 4301066890 (MI)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
250 Cherry Se
Grand Rapids, MI 49503
Phone: (616) 752-5600
Approximate (ZIP-level) locationGet directions
Mailing address
245 State St Se
Grand Rapids, MI 49503-4328
Registry dates
- Enumerated
- 2006-07-09
- Last updated
- 2023-10-11
- Certified
- 2023-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.