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

Leonid Mironovich Shamban, DO

Individual provider Gastroenterology Physician · NPI 1225398431

Leonid Mironovich Shamban, DO is a Gastroenterology in Saint Clair Shores, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2012, 14 years ago. Practices with Henry Ford Health Providence Hospital, a 350-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
14
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2012
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

28963 Little Mack Ave Ste 101
Saint Clair Shores, MI 48081-3017
Phone: (586) 447-0700
Fax: (586) 498-0707
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22250 Providence Dr Ste 301a, Southfield, MI 48075-6211 — (248) 849-3281

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 5101019763 (MI)

Record details

NPI number1225398431
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 22, 2012
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2012 (14 years in practice)
Group practice Henry Ford Health Providence Hospital — 350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Saint Clair Shores