Individual provider · NPI-1

Shakhnoza Abdukhamitova, MD

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number1508654252
StatusActive
Last updated in NPPESMay 20, 2026

Details

NPI
1508654252
Entity type
Individual (NPI-1)
Name
Shakhnoza Abdukhamitova
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 30, 2025
Certification date
May 20, 2026
Last updated
May 20, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–MIYes
374J00000X Doula–MI

Practice location

3031 W Grand Blvd Ste 600
Detroit, MI 48202-3014

Phone 248-231-8264

Mailing address

3031 W Grand Blvd Ste 600
Detroit, MI 48202-3014

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in Detroit, MI