Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VIJAYA SHASTRI, MD
ActiveAllergy & Immunology · SAINT JOSEPH, MI
Registration Details
- NPI Number
- 1245299502
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 23, 2006 (20.082953926053 yrs)
- Last Updated
- Feb 24, 2016
- License
-
VS040679 (MI)
Practice Information
- Address
-
3950 HOLLYWOOD RDSUITE 270SAINT JOSEPH, MI, 490859159Browse MI providers · Browse ZIP 49085
- Phone
- 2699833386
- Fax
- 2699837943
- Primary Specialty
-
Allergy & Immunology
207RA0000X
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.