Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANASTASYA CHUCHULO, MD
DeactivatedDR. ANASTASYA CHUCHULO, MD is a General Surgery healthcare provider located in SAINT CLAIR SHORES, Michigan. NPI 1174180327 is deactivated in the NPPES registry. Verify at CMS.
General Surgery · SAINT CLAIR SHORES, MI
This NPI has been deactivated.
The record was deactivated on January 13, 2020.
Deactivated NPIs are no longer valid for billing or credentialing.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
- 1174180327
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 23, 2019 (0.64207650273224 yrs)
- Last Updated
- Sep 23, 2025
- Deactivated
- Jan 13, 2020
- License
-
4301511510 (MI)
Practice Information
- Address
-
29000 LITTLE MACK AVE STE ASAINT CLAIR SHORES, MI, 480813018Browse MI providers · Browse ZIP 48081
- Phone
- 5863438717
- Fax
- 5863438773
- Primary Specialty
-
General Surgery
208600000X
Other General Surgery Providers in SAINT CLAIR SHORES, MI
| Name | Credential | NPI |
|---|---|---|
| STEVEN R HENDRICK | MD | 1154391381 |
| DR. NAGALINGAPPA BHADRA CHARI | M.D. | 1144232133 |
| MAZEN KHALIDI | MD | 1619056041 |
| DR. TAGHREED ALMAHMEED | M.D. | 1578636106 |
| ABDELKADER HAWASLI | MD | 1467502294 |
| AHMED ABDEL MEGUID | MD | 1487704227 |
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.