Christina Mubarak Shanti, MD - Surgery in Detroit, MI

Christina Mubarak Shanti, MD is a Surgery - Pediatric Surgery physician based in Detroit, Michigan. Christina Mubarak Shanti is licensed to practice in Michigan (license number 4301070255) and her current practice location is Henry Ford Health System, 2799 West Grand Boulevard, Detroit, Michigan. She can be reached at her office (for appointments etc.) via phone at (313) 916-9106.

NPI number for Christina Mubarak Shanti is 1124015565 and her current mailing address is Henry Ford Health System, 2799 West Grand Boulevard, Detroit, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124015565.

Contact Information

Christina Mubarak Shanti, MD
Henry Ford Health System, 2799 West Grand Boulevard,
Detroit, MI 48202
(313) 916-9106
(313) 916-1249

Map and Direction




Physician's Profile

Full NameChristina Mubarak Shanti
GenderFemale
SpecialitySurgery - Pediatric Surgery
LocationHenry Ford Health System, Detroit, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124015565
  • Provider Enumeration Date: 09/30/2005
  • Last Update Date: 03/17/2008

Medical Identifiers

Medical identifiers for Christina Mubarak Shanti such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124015565NPI-NPPES
1396817714OtherMIGROUP NPI
4735568MedicaidMI
4864707MedicaidMI
4735577MedicaidMI
CS070255OtherCOMMERCIAL-COMMERCIAL NUMBER
CS070255OtherCHAMPUS-CHAMPUS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0120XSurgery - Pediatric Surgery 4301070255 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christina Mubarak Shanti is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Christina Mubarak Shanti, MD
Henry Ford Health System, 2799 West Grand Boulevard,
Detroit, MI 48202

Ph: (313) 916-9106
Christina Mubarak Shanti, MD
Henry Ford Health System, 2799 West Grand Boulevard,
Detroit, MI 48202

Ph: (313) 916-9106

Reviews and Comments


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