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

Shastri Boothe, PA

Individual provider Physician Assistant · NPI 1235177569

Shastri Boothe, PA is a Physician Assistant in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

18161 W 13 Mile Rd Ste A-2
Southfield, MI 48076-1113
Phone: (248) 642-9893
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601004456 (MI)

Record details

NPI number1235177569
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 2, 2006
Last updated in NPPESJuly 24, 2007
Mailing address18161 W 13 Mile Rd, Suite A-2, Southfield, MI 48076-1113

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