Mufti, Shahid
Mufti, Shahid is an individual health care provider with primary practice located at 520 Mary St Suite 230, Evansville IN 47710. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Mufti, Shahid can be contacted via phone (812) 464-9133.Contact Information
Primary practice address
520 Mary St Suite 230
Evansville IN 47710
Phone: (812) 464-9133
Fax: (812) 464-0559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01035053A | Indiana |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 01035053A | Indiana |
Profile Details
| NPI number | 1710985213 |
|---|---|
| LBN Legal business name | Mufti, Shahid |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Aug 13th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710985213 | NPPES |
| Illinois | MEDICAID | 036061926 | |
| Illinois | MEDICAID | 64872385 | |
| Illinois | Other | 000000606368 | |
| Illinois | MEDICAID | 100101370A |
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