Shakhnoza Abdukhamitova, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI 1508654252 · NPPES record last updated May 20, 2026

Key facts

NPI
1508654252
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
3031 W Grand Blvd Ste 600
Detroit, MI 48202-3014
Phone
(248) 231-8264
NPI assigned
Apr 30, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MI Yes
Doula 374J00000X MI

Addresses

Primary practice location

3031 W Grand Blvd Ste 600
Detroit, MI 48202-3014

Mailing address

3031 W Grand Blvd Ste 600
Detroit, MI 48202-3014

Other providers in Detroit, MI

All providers in Detroit, MI · Student in an Organized Health Care Education/Training Program in Michigan

Sources for this page

Verify at the official NPI Registry.