DR. BRANDON MICHAEL SHAW (NPI# 1255736039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255736039 |
| Entity Type | Individual |
| Full Name | DR. BRANDON MICHAEL SHAW |
| Credential | PH.D |
| Practice Address |
2799 W. Grand Blvd. Detroit MI 48202 |
| Practice Telephone | 3138701734 |
| Practice Fax Number | 3138701701 |
| Mailing Telephone | 3138701734 |
| Mailing Fax Number | 3138701701 |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2014-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZG1000X |
Specialist/Technologist, Other Specialization: Geneticist, Medical (PhD) |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073545877 | Brandon J Shaw | Anesthesiology | 1301 E Mcdowell Rd Ste 100, Phoenix, AZ 85006-2605 | 2006-07-06 |
| Street Address |
2799 W. GRAND BLVD. |
| City | DETROIT |
| State | MI |
| Zip Code | 48202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568426294 | Kirsten I Mogbo | Radiology | 2799 W. Grand Blvd., Detroit, MI 48202 | 2006-04-12 |
| 1568014884 | Abel John Ignatius | Internal Medicine | 2799 W. Grand Blvd., Cfp 046, Detroit, MI 48202 | 2019-07-16 |
| 1700375920 | Syed Ali Hyder Jaffery | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd., Detroit, MI 48202-2608 | 2018-05-03 |
| 1700306537 | Anirudha Swaminathan Rathnam | Independent Medical Examiner | 2799 W. Grand Blvd., Henry Ford Hospital, Medical Education Dept., Detroit, MI 48202-2608 | 2017-06-22 |
| 1558893172 | Saher Quraeshi | Internal Medicine | 2799 W. Grand Blvd., Clara Ford Pavillion #417, Detroit, MI 48202 | 2017-04-02 |
| 1376706036 | Amy Beth Engelhardt | Internal Medicine | 2799 W. Grand Blvd., Detroit, MI 48202 | 2008-07-02 |
| 1053513986 | Akshay Kumar Khandelwal | Internal Medicine | 2799 W. Grand Blvd., Henry Ford Hospital K-14, Detroit, MI 48202 | 2007-06-04 |
| 1245440759 | Henry Ford Health System | General Acute Care Hospital | 2799 W. Grand Blvd., Detroit, MI 48202 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| Taxonomy Code | 246ZG1000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Geneticist, Medical (PhD) |
| Definition to come... |
Please comment or provide details below to improve the information on DR. BRANDON MICHAEL SHAW.
| 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.