Mokfi, Shaya

Mokfi, Shaya is an individual health care provider with primary practice located at 15011 Day Rd , Mishawaka IN 46545-4328. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mokfi, Shaya can be contacted via phone (574) 855-4310.

Contact Information

Primary practice address
15011 Day Rd Mishawaka IN 46545-4328
Phone: (574) 855-4310
Fax: (574) 855-4313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01046740 Indiana

Profile Details

NPI number 1912952151
LBN Legal business name Mokfi, Shaya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Jan 5th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912952151 NPPES
Indiana Other 021236800 FEDERAL BLACK LUNG
Indiana Other 000000215942 FEDERAL BLACK LUNG
Indiana Other 000000756923 FEDERAL BLACK LUNG
Indiana MEDICAID 200171410A FEDERAL BLACK LUNG

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