Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH W SHAHEEN, M.D.
Deactivated Sole ProprietorKENNETH W SHAHEEN, M.D. is a Specialist healthcare provider located in TROY, Michigan. NPI 1114928199 is deactivated in the NPPES registry. Verify at CMS.
Specialist · TROY, MI
This NPI has been deactivated.
The record was deactivated on March 21, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1114928199
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 2, 2005 (0.63287671232877 yrs)
- Last Updated
- Jul 7, 2010
- Deactivated
- Mar 21, 2006
- License
-
2086S0122X (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2585 CROOKS RDTROY, MI, 480844702Browse MI providers · Browse ZIP 48084
- Phone
- 2482831110
- Fax
- 2482831114
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in TROY, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. BRANDON ROSS | M.D. | 1154327252 |
| DR. TRACI KIMBROUGH | M.D. | 1235242587 |
| DR. MARCIA BROOKS CARDELLI | M.D. | 1689787939 |
| PETER KALABAT | MD | 1003900903 |
| DR. MICHAEL J SCHENDEN | M.D. | 1831266485 |
| MS. SHERRY L VIOLA | M.D. | 1548458177 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.