SearchMichiganCertified Registered Nurse Anesthetist

Thomas Shadaya

NPI 1265165120 · on the registry since 2022

Practice

Address
259 Mack Ave
Detroit, MI 48201
Phone
(313) 577-1716
Clinicians at this address
93

Registry record

Primary taxonomy
Certified Registered Nurse Anesthetist
367500000X
Also registered as
Critical Care Medicine Registered Nurse
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-03-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan