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Bethany R Shanku, PA-C

Physician Assistant in Southfield, MI · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1851581573

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Registry record

Entity type Individual (Type 1)
Name Bethany R Shanku
Credential PA-C
Sex Female
Practice address 26025 Lahser Rd Fl 3, Southfield, MI, 48033
Fax (248) 809-3378
Enumeration date Jul 30, 2007
Last updated in NPPES Apr 15, 2026

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 0796 (NH) Secondary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 015254 (NY) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 5601007853 (MI) Primary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA1507 (TN) Secondary

Other identifiers

Identifier Type State Issuer
4158075 Other TN BC/BS TN - CUMBERLAND BACK PAIN CLINIC, P.C.
4190395 Other TN BS/BS TN - LEBANON BACK PAIN CLINIC, P.C.
3665093 Medicaid TN -
PA1507 Other TN STATE LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Bethany Shanku practice?
The practice location on file with NPPES is in Southfield, MI. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Bethany Shanku?
The National Provider Identifier (NPI) for Bethany Shanku is 1851581573, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-04-15.