NPI 1750247300
Jason Robert Shanker
Practice location
- Address
- 30200 Telegraph Rd, Bingham Farms, MI 48025-4502
- Phone
- (248) 712-1129
- Fax
- (248) 792-3249
- Mailing address
- 19875 Butternut Ln, Southfield, MI 48076-1795
Registered specialties
Student in an Organized Health Care Education/Training Program
Primary
Registry record
- NPI
- 1750247300
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 29 Dec 2025
- Record last updated
- 29 Dec 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.