Shah, Sloan Suzanne
Shah, Sloan Suzanne is an individual health care provider with primary practice located at 515 N Lafayette Blvd , South Bend IN 46601-1003. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Shah, Sloan Suzanne can be contacted via phone (574) 232-2037.Contact Information
Primary practice address
515 N Lafayette Blvd
South Bend IN 46601-1003
Phone: (574) 232-2037
Fax: (574) 232-1420
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 01054186A | Indiana |
Profile Details
| NPI number | 1326093451 |
|---|---|
| LBN Legal business name | Shah, Sloan Suzanne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Feb 10th, 2010 - about 14 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 | 1326093451 | NPPES |
| Indiana | MEDICAID | 200360700A |
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