DR. RAAFAT BOLES MAHROUS SHEHATA (NPI# 1891078846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891078846 |
| Entity Type | Individual |
| Full Name | DR. RAAFAT BOLES MAHROUS SHEHATA |
| Credential | M.D. |
| Practice Address |
21540 W 11 Mile Rd Ste 200 Southfield MI 48076-3843 |
| Mailing Address |
Po Box 1239 Troy MI 48099-1239 |
| Practice Telephone | 2483522000 |
| Practice Fax Number | 2483528800 |
| Mailing Telephone | 2488246060 |
| Mailing Fax Number | 2486860772 |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2019-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301099522 | MI | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 4301099522 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18463 Livernois Ave, Detroit, MI 482212254 | 3138614400 |
| Street Address |
21540 W 11 MILE RD STE 200 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48076-3843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366530941 | Susan Elizabeth Little Jones | Internal Medicine | 21540 W 11 Mile Rd Ste 200, Southfield, MI 48076-3843 | 2006-10-10 |
| 1245859446 | Vpa PC | Pediatrics | 21540 W 11 Mile Rd Ste 200, Southfield, MI 48076-3843 | 2020-04-09 |
| 1669091864 | Vpa PC | Pediatrics | 21540 W 11 Mile Rd Ste 200, Southfield, MI 48076-3843 | 2020-04-09 |
| 1043721715 | Juliana Marie Martino | Nurse Practitioner | 21540 W 11 Mile Rd Ste 200, Southfield, MI 48076-3843 | 2017-10-20 |
| 1841671146 | Uzair Munshey | Family Medicine | 21540 W 11 Mile Rd Ste 200, Southfield, MI 48076 | 2015-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813753 | Elaine Sarah Kahn | Social Worker | 15999 West Twelve Mile Rd, Southfield, MI 48076 | 2020-08-31 |
| 1295353829 | Marian Hannah Ibrahim | Dentist | 19189 W 12 Mile Rd, Lathrup Village, MI 48076 | 2020-07-09 |
| 1699317669 | Meadow Lane Rehabilitative Therapies LLC | Social Worker | 29895 Greenfield Rd., Suite 104b, Southfield, MI 48076 | 2019-10-11 |
| 1760035752 | Taliah Laneice Williams-hunter | Counselor | 30119 Sparkleberry Dr., Southfield, MI 48076 | 2019-07-19 |
| 1386114742 | Mavis Gail Pookrum | Technician | 21732 Colony Park Circle #105, Southfield, MI 48076 | 2018-11-28 |
| 1861962417 | Millennial Infusion Centers Inc | Clinic/Center | 26250 Northwestern Hwy Ste 201, Southfield, MI 48076 | 2018-11-27 |
| 1215429212 | Debra Deanes | Counselor | 30233 Southfiels Rd, 203, Southfield, MI 48076 | 2018-06-05 |
| 1437675758 | Kenneth Gerard Giles | Counselor | 29532 Southfield Rd. Suite 208, Southfield, MI 48076 | 2017-08-17 |
| 1902346836 | Linsk Psychiatry Services P C | Clinic/Center | 21751 W 12 Mile Rd, Suite 205, Southfield, MI 48076 | 2017-02-25 |
| 1023552361 | Massage Serenity | Community/Behavioral Health | 20245 W. 12 Mile Rd, Suite 113, Southfield, MI 48076 | 2016-12-06 |
| Find all providers in zip 48076 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699398081 | Natalie Bacheldor | Family Medicine | 22250 Providence Drive Suite 557, Southfield, MI 48075-4818 | 2020-05-20 |
| 1346806734 | Michigan Visiting Physician Services, Inc | Family Medicine | 21751 W 11 Mile Rd Ste 204, Southfield, MI 48076-3779 | 2019-05-12 |
| 1174031942 | Providence Homecare Providers Pllc | Family Medicine | 25511 Southfield Rd Ste 118, Southfield, MI 48075-1830 | 2018-01-16 |
| 1225567944 | Bilal Tarek Malek | Family Medicine | 23648 Lahser Rd, Southfield, MI 48033-3250 | 2017-06-06 |
| 1457894461 | Residential Physicians Association, Pllc | Family Medicine | 28300 Franklin Rd Ste 100, Southfield, MI 48034-1657 | 2016-11-22 |
| 1194104885 | Lorenzo Ray Mata Lim | Family Medicine | 23077 Greenfield Rd Ste 195, Southfield, MI 48075-3750 | 2015-05-27 |
| 1194147959 | Premier Family Medicine Pllc | Family Medicine | 23031 Wrexford Dr, Southfield, MI 48033-6575 | 2014-01-14 |
| 1306195730 | Southfield Family Practice Pllc | Family Medicine | 22972 Lahser Road, Southfield, MI 48033 | 2012-08-30 |
| 1760745434 | Latoya Tamara Austin | Family Medicine | 22250 Providence Dr Ste 557, Southfield, MI 48075-4825 | 2012-06-19 |
| 1508124082 | Thomas Mays Md, PC | Family Medicine | 20905 Greenfield Rd Ste 201, Southfield, MI 48075-5346 | 2012-05-02 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48076 |
Please comment or provide details below to improve the information on DR. RAAFAT BOLES MAHROUS SHEHATA.
| 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.