SHASTRI BOOTHE

SOUTHFIELD, MI
NPI1235177569
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601004456)
Enumeration Date2006-06-02
Last Update Date2007-07-24
Business Address
-- SHASTRI BOOTHE PA
18161 W 13 MILE RD SUITE A-2
SOUTHFIELD, MI 48076-1113
Phone number: 248-642-9893
Mailing Address
-- SHASTRI BOOTHE PA
18161 W 13 MILE RD SUITE A-2
SOUTHFIELD, MI 48076-1113
Phone number: 248-642-9893
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