Mehdi, Shaun Sadruddin
Mehdi, Shaun Sadruddin is an individual health care provider with primary practice located at 6200 Central Ave , Portage IN 46368-3702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mehdi, Shaun Sadruddin can be contacted via phone (219) 762-1040.Contact Information
Primary practice address
6200 Central Ave
Portage IN 46368-3702
Phone: (219) 762-1040
Fax: (219) 762-1041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 125071534 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 02005976A | Indiana |
Profile Details
| NPI number | 1851812572 |
|---|---|
| LBN Legal business name | Mehdi, Shaun Sadruddin |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2017 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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