| Doctor Name: | MR. SHASHIKANT NAGLE |
| NPI Number: | 1033181482 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CP |
| License Number: | |
| Business Practice Address: | 21020 Kelly Rd Eastpointe, MI - 480213126 |
| Business Phone Number: | 5867778090 |
| Business Fax Number: | 5867779180 |
| Mailing Address: | 1803 Hallmark Dr, TROY |
| State: | MI |
| Postal Code: | 480984354 |
| Phone Number: | 2488778090 |
| Fax Number: | |
| NPI Enumeration Date: | 02/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Specialist/Technologist, Other |
| Taxonomy Specialization: | |
| Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |