Shana, Al M

Shana, Al M is an individual health care provider with primary practice located at 801 Broadway N , Fargo ND 58102-3641. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Shana, Al M can be contacted via phone (701) 781-3444.

Contact Information

Primary practice address
801 Broadway N Fargo ND 58102-3641
Phone: (701) 781-3444
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 35099267 Ohio
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 35099267 Ohio
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 10140 North Dakota

Profile Details

NPI number 1205889748
LBN Legal business name Shana, Al M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jun 13th, 2019 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205889748 NPPES
Ohio MEDICAID 0065902
Ohio MEDICAID 7100146510

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