Shaaban, Fadel

Shaaban, Fadel is an individual health care provider with primary practice located at 12750 Saint Francis Dr , Crown Point IN 46307-0264. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Shaaban, Fadel can be contacted via phone (219) 852-1524.

Contact Information

Primary practice address
12750 Saint Francis Dr Crown Point IN 46307-0264
Phone: (219) 852-1524
Fax: (219) 933-2288
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 01037181A Indiana

Profile Details

NPI number 1851336911
LBN Legal business name Shaaban, Fadel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Jan 12th, 2024 - about 11 months 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 1851336911 NPPES
Indiana Other 000000722318 ANTHEM TRADITIONAL
Indiana MEDICAID 200844510 ANTHEM TRADITIONAL

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