Shanshen, Enas Mohamed

Shanshen, Enas Mohamed is an individual health care provider with primary practice located at 400 N 9Th St Fl 2 , Springfield IL 62702-5310. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Cardiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatric Cardiology is her primary health care specialty. Shanshen, Enas Mohamed can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
400 N 9Th St Fl 2 Springfield IL 62702-5310
Phone: (217) 545-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 45984 Texas
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 46386 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1093092389
LBN Legal business name Shanshen, Enas Mohamed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2011
Last updated Jul 20th, 2021 - about 3 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 1093092389 NPPES
New Mexico MEDICAID 82004234
New Mexico MEDICAID 379876101
New Mexico MEDICAID 379876102
New Mexico MEDICAID 200724170A

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