SHASTRI BOOTHE PA
NPI 1235177569
Physician Assistant in Southfield, MI

Active since June 02, 2006
18161 W 13 MILE RD, SUITE A-2, SOUTHFIELD, MI 48076(248) 642-9893 Get Directions Write a Review

NPPES record last updated: July 24, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shastri Boothe Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHASTRI BOOTHE PA (NPI 1235177569) is an individual physician assistant in Southfield, Michigan, licensed in Michigan (5601004456) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1235177569
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHASTRI BOOTHECredential: PA
Location Address18161 W 13 MILE RD, SUITE A-2Southfield, MI 48076-1113
Mailing Address18161 W 13 Mile Rd, Suite A-2Southfield, MI 48076-1113 · (248) 642-9893
Sole ProprietorNo
Enumeration DateJune 2, 2006
Last NPPES UpdateJuly 24, 2007
NPI 1235177569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601004456
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
18161 W 13 MILE RD, Southfield, MI 48076

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
18161 W 13 MILE RD, SUITE E 3
SOUTHFIELD, MI 48076
Pharmacist
18161 W 13 MILE RD, A1
SOUTHFIELD, MI 48076
Colon & Rectal Surgery
18161 W 13 MILE RD, SUITE A1
SOUTHFIELD, MI 48076
Emergency Medicine
18161 W 13 MILE RD, SUITE A-2
SOUTHFIELD, MI 48076
Physician Assistant
18161 W 13 MILE RD, SUITE A-2
SOUTHFIELD, MI 48076
Emergency Medicine
18161 W 13 MILE RD, SUITE A-2
SOUTHFIELD, MI 48076
Podiatrist
18161 W 13 MILE RD, #D2
SOUTHFIELD, MI 48076
Physical Therapist
18161 W 13 MILE RD, SUIT A-2
SOUTHFIELD, MI 48076

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shastri Boothe's NPI number?

The NPI number for Shastri Boothe is 1235177569. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Shastri Boothe located?

Shastri Boothe practices at 18161 W 13 Mile Rd Suite A-2, Southfield, MI 48076. The listed phone number is (248) 642-9893.

What is Shastri Boothe's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Shastri Boothe was last updated on July 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.