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

Shyam Bhogineni, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629906888

Shyam Bhogineni, DO is a Student in an Organized Health Care Education/Training Program in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2026
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.

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Practice location Address checks out

4201 Saint Antoine St
Detroit, MI 48201-2153
Phone: (248) 269-3647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (MI)

Record details

NPI number1629906888
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 9, 2026
Last updated in NPPESMay 9, 2026
Certification dateMay 9, 2026

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