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

MS. Selena Shamo

Individual provider Physician Assistant · NPI 1124844014

MS. Selena Shamo is a Physician Assistant in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2024.

Licensed in
MI
In the registry since
2024

Practice location Address checks out

259 Mack Ave Ste 2590
Detroit, MI 48201-2427
Phone: (313) 577-1716
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1235097 (MI)

Record details

NPI number1124844014
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 25, 2024
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025

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