Provider Demographics
NPI:1306088760
Name:SHAYA, MARY FLATEN (MD)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:FLATEN
Last Name:SHAYA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:75 BARCLAY CIR STE 230
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-5823
Mailing Address - Country:US
Mailing Address - Phone:248-237-6994
Mailing Address - Fax:248-237-4524
Practice Address - Street 1:75 BARCLAY CIR STE 230
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-5823
Practice Address - Country:US
Practice Address - Phone:248-237-6994
Practice Address - Fax:248-237-4524
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-01
Last Update Date:2013-02-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI43010829662084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology