IndividualActive
Abhishek Shastry, DO
NPI 1689424921 · Internal Medicine Physician · Southfield, MI
Provider details
- NPI number
- 1689424921
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 5151016637 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
22250 Providence Dr Ste 301
Southfield, MI 48075-6211
Phone: (248) 849-3281
Approximate (ZIP-level) locationGet directions
Mailing address
22250 Providence Dr Ste 301
Southfield, MI 48075-6211
Registry dates
- Enumerated
- 2024-03-26
- Last updated
- 2024-04-29
- Certified
- 2024-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.