Shaker, Mina
Shaker, Mina is an sole proprietor health care provider with primary practice located at 3401 N Broad St , Philadelphia PA 19140-5103. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hepatology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Shaker, Mina can be contacted via phone (215) 707-5067.Contact Information
Primary practice address
3401 N Broad St
Philadelphia PA 19140-5103
Phone: (215) 707-5067
Fax: (215) 707-5126
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hepatology | 207RI0008X | MD461936 | Pennsylvania |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | MD461936 | Pennsylvania |
Profile Details
NPI number | 1780929240 |
---|---|
LBN Legal business name | Shaker, Mina |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 10th, 2012 |
Last updated | Nov 10th, 2020 - about 5 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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