Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kathren Hisham Shango, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619545845

Dr. Kathren Hisham Shango, MD is an Internal Medicine in Pontiac, Michigan. Graduated from Wayne State University School of Medicine in 2021, 5 years ago. Practices with Iha Ooma Primary LLC, a 44-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
5
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

44428 Woodward Ave Ste 102
Pontiac, MI 48341-5009
Phone: (248) 858-3126
Fax: (248) 858-6499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2799 W Grand Blvd, Detroit, MI 48202-2608 — (313) 916-1888

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301512608 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 4351048387 (MI)

Record details

NPI number1619545845
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2021
Last updated in NPPESJuly 23, 2024
Certification dateJuly 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Iha Ooma Primary Llc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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