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

Individual provider Emergency Medicine Physician · NPI 1194216101

Gino Shwkat Etta, MD is an Emergency Medicine in Madison Heights, Michigan. Qualified in 2018, 8 years ago. Practices with Independent Emergency Physicians PC, a 157-clinician group and accepts Medicare assignment. Licensed in Michigan and Ohio.

Years since qualifying
8
Licensed in
MI, OH
In the registry since
2018
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

27351 Dequindre Rd
Madison Heights, MI 48071-3487
Phone: (248) 967-7661
Fax: (248) 967-7876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 35.141973 (OH)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 4301501047 (MI)

Record details

NPI number1194216101
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 24, 2018
Last updated in NPPESNovember 4, 2021
Certification dateNovember 4, 2021

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Independent Emergency Physicians Pc — 157 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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