IndividualActive
Alexandra Shaw, MD
NPI 1689808297 · Neurology with Special Qualifications in Child Neurology Physician · Royal Oak, MI
Provider details
- NPI number
- 1689808297
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 4301111625 (MI)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense 4301111625 (MI)
Allopathic & Osteopathic Physicians
Practice location
3555 W 13 Mile Rd Ste N120
Royal Oak, MI 48073-6710
Phone: (855) 863-8761
Fax: (248) 551-8190
Approximate (ZIP-level) locationGet directions
Mailing address
26901 Beaumont Blvd Ste 3d
Southfield, MI 48033-3849
Registry dates
- Enumerated
- 2009-05-11
- Last updated
- 2020-10-22
- Certified
- 2020-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.