MALATH SHAMOON FNP
NPI 1538522388
Nurse Practitioner - Family in Hazel Park, MI

Active since March 30, 2016
23411 JOHN R RD, HAZEL PARK, MI 48030(248) 399-8331 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Sep 20, 2017, Feb 2, 2017 and 1 more (4 updates tracked since 2016).

About Malath Shamoon Fnp NPPES

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

MALATH SHAMOON FNP (NPI 1538522388) is an individual family provider in Hazel Park, Michigan, licensed in Michigan (4704241902) and active in the NPI registry since March 2016. She maintains a secondary practice location in Royal Oak.

NPPES Registry Identity

NPI1538522388
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMALATH SHAMOONCredential: FNP
Location Address23411 JOHN R RDHazel Park, MI 48030-1404
Mailing Address23411 John R RdHazel Park, MI 48030-1404 · (248) 399-8331
Sole ProprietorNo
Enumeration DateMarch 30, 2016
Last NPPES UpdateMarch 17, 20184 updates tracked since enumeration
NPI 1538522388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MI · 4704241902
23411 JOHN R RD, Hazel Park, MI 48030

Secondary Practice Location 1

Location 13535 W 13 Mile Rd # 202, Suite 202Royal Oak, MI 48073-6770 · Phone (248) 353-3026

Other Providers at the Same Location NPPES 6

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

Internal Medicine
23411 JOHN R RD
HAZEL PARK, MI 48030
Pharmacy (Community/Retail Pharmacy)
23411 JOHN R RD
HAZEL PARK, MI 48030
Health Maintenance Organization
23411 JOHN R RD
HAZEL PARK, MI 48030
Dentist (General Practice)
23411 JOHN R RD
HAZEL PARK, MI 48030
Internal Medicine
23411 JOHN R RD
HAZEL PARK, MI 48030
Physician Assistant
23411 JOHN R RD
HAZEL PARK, MI 48030

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 Malath Shamoon's NPI number?

The NPI number for Malath Shamoon is 1538522388. It was assigned to this individual provider in the NPPES registry on March 30, 2016.

Where is Malath Shamoon located?

Malath Shamoon practices at 23411 John R Rd, Hazel Park, MI 48030. The listed phone number is (248) 399-8331.

What is Malath Shamoon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Malath Shamoon was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.