Shadhaya, Thomas

Shadhaya, Thomas is an individual health care provider with primary practice located at 259 Mack Ave , Detroit MI 48201-2427. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Shadhaya, Thomas can be contacted via phone (313) 577-1716.

Contact Information

Primary practice address
259 Mack Ave Detroit MI 48201-2427
Phone: (313) 577-1716
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704272654 Michigan
Nursing Service Providers / Critical Care Medicine 163WC0200X 4704272654 Michigan

Profile Details

NPI number 1265165120
LBN Legal business name Shadhaya, Thomas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2022
Last updated Apr 11th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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