Provider Demographics
NPI:1932378478
Name:SHAKIR, REEM BASIM (MD)
Entity Type:Individual
Prefix:DR
First Name:REEM
Middle Name:BASIM
Last Name:SHAKIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:22151 MOROSS RD
Mailing Address - Street 2:PROFESSIONAL BUILDING 2, SUITE 370
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48236-2167
Mailing Address - Country:US
Mailing Address - Phone:313-343-4585
Mailing Address - Fax:
Practice Address - Street 1:20769 E 13 MILE RD
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48066-4503
Practice Address - Country:US
Practice Address - Phone:313-945-5450
Practice Address - Fax:313-945-5455
Is Sole Proprietor?:No
Enumeration Date:2008-02-28
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301090869207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology