Arunima Shrivastava, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

22880 Issued in HI

Practice address

4420 E Davison St
Detroit, MI 48212-1744

Phone

(313) 369-1500

Fax

(313) 369-1205

NPI assigned

Feb 1, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Great Lakes Family Medical Center PLLC

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1598737769
  NPD
• Health Centers Detroit Foundation, Inc.

  • Federally Qualified Health Center (FQHC)
  • Detroit, MI
  • NPI 1518026541
  NPD (past)
• Y.B. Bishai MD PC

  • Obstetrics & Gynecology Physician
  • Warren, MI
  • NPI 1407828650
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1770554164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5914 GARFIELD ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701154322",
            "telephone_number": "248-224-2500",
            "fax_number": "248-450-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 E DAVISON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482121744",
            "telephone_number": "313-369-1500",
            "fax_number": "313-369-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRIVASTAVA",
        "first_name": "ARUNIMA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "4301068357",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "22880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4478175-10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Polly Shpargel
• Sujan Shrestha
• Joel Emmanuel-Pierre Shreve Jr.
• Maria Shreve, MD
• Meghan Irene Shrewsberry, ORTL
• Kasheena T Shropshire, NP
• Livonia Shropshire
• Alexander Mark Shrum, DO
• Linda Shu, M.D.
• Hassane I Shuayto, PHARMACIST

• Family Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.