RAVI K SHASTRI


Address: 2122 Health Dr Sw Ste 160, Wyoming, MI 49519-9402
Phone: 6162525790

RAVI K SHASTRI (NPI# 1790931715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790931715
Entity Type Individual
Full Name RAVI K SHASTRI
Credential M.D.
Practice Address 2122 Health Dr Sw Ste 160
Wyoming
MI 49519-9402
Mailing Address 5900 Byron Center Ave Sw
Medical Administration
Wyoming
MI 49519-9606
Practice Telephone 6162525790
Practice Fax Number 6162525793
Mailing Telephone 6162523243
Mailing Fax Number 6162520260
Enumeration Date 2008-08-10
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085N0700X Radiology
Specialization: Neuroradiology
4301103078 MI Allopathic & Osteopathic Physicians
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
4301103078 MI Allopathic & Osteopathic Physicians
N 208600000X Surgery R70528 AZ Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1500 E Medical Center Dr, B1 Floor University Hospital Rec C, Ann Arbor, MI 481095030 7349364566

Office Location

Street Address 2122 HEALTH DR SW STE 160
City WYOMING
State MI
Zip Code 49519-9402

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609364009 Alexandra K Hylen Dentist 4489 Byron Center Ave Sw Ste A, Wyoming, MI 49519 2018-05-01
1962925685 Nicole Lee Kolasa Rehabilitation Counselor 2038 Melvin St. Sw, Wyoming, MI 49519 2017-07-25
1720534472 Michael Ash Rehabilitation Practitioner 1870 36th Street, Wyoming, MI 49519 2016-08-31
1891248993 Kayleigh Saucier Family Medicine 5900 Byron Center Avenue Se, Wyoming, MI 49519 2016-07-26
1093112799 Wmro LLC Radiology 5950 Metro Way, Wyoming, MI 49519 2014-11-24
1033547658 Maranda Catherine Gary Nurse Practitioner 2122 Health Drive, Wyoming, MI 49519 2013-10-16
1144657800 Diana Ro Psychologist 4211 Parkway Place Sw, #100, Wyoming, MI 49519 2013-09-26
1386077873 Lindsey Elizabeth Chorney Nurse Practitioner 2122 Health Drive Sw, Suite 133, Wyoming, MI 49519 2013-08-20
1124377163 Vision and Sensory Center of Michigan LLC Optometrist 4467 Byron Center Ave., Wyoming, MI 49519 2012-09-06
1881940203 Judah Durable Medical Equipment & Medical Supplies 2975 Waterchase Way Sw Suite 307, Wyoming, MI 49519 2012-08-03
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659509701 Mark T Tierney Radiology 5900 Byron Center Ave Sw, Wyoming, MI 49519 2009-06-29
1326264763 Matthew August Tiede Radiology 5900 Byron Center Ave Sw, Wyoming, MI 49519-9686 2007-04-17
1215031828 Janan Abbas Alkilidar Radiology 5900 Byron Center Ave Sw, Wyoming, MI 49519 2006-09-12
1972555308 Mark Traill Radiology 5900 Byron Center Ave Sw, Wyoming, MI 49519 2006-05-16
1326012634 Guillermo R Sanchez Radiology 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 2006-02-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245855667 Joshua Boulter Radiology 2250 Providence Drive, 3pmb Suite #301, Southfield, MI 48075-4818 2020-06-11
1679197693 Shyam Amin Radiology Academic Internal Medicine 2 2250 Providence Dr, 3pmb Suite #301, Southfield, MI 48075-4818 2020-06-05
1871116509 Anthony Diebes Radiology 16001 W 9 Mile Rd Bldg 4th, Southfield, MI 48075-4818 2020-05-28
1548823800 Alexander Paul Kaechele Radiology 16001 West 9 Mile Road, Suite #416, Southfield, MI 48075-4818 2019-04-22
1790246627 Genesis Healthcare Radiology 8560 N Silvery Ln Ste 101, Dearborn Heights, MI 48127-4516 2019-03-25
1023572831 Proscan Imaging Southfield Pllc Radiology 29877 Telegraph Rd # 11, Southfield, MI 48034-1332 2019-01-25
1295204253 Easy Imaging, LLC Radiology 16100 19 Mile Rd Ste X, Clinton Township, MI 48038-1148 2018-11-20
1205304888 Ascension Medical Group Genesys Radiology 1096 S Belsay Rd Ste J, Burton, MI 48509-1948 2018-11-13
1336626696 Quantum Medical Radiology of California, P.C. Radiology 1625 Bear Creek Ln Unit O, Petoskey, MI 49770-8378 2018-07-19
1376072488 Cambridge Institute of Minimally Invasive Therapies Pllc Radiology 2007 E 14 Mile Rd, Sterling Heights, MI 48310-5905 2017-06-12
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Competitor

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City WYOMING
Zip Code 49519

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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