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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093092389 | NPPES |
| New Mexico | MEDICAID | 82004234 | |
| New Mexico | MEDICAID | 379876101 | |
| New Mexico | MEDICAID | 379876102 | |
| New Mexico | MEDICAID | 200724170A |
Popular Providers
-
Shah, Urav
400 N 9Th St Fl 2 , Springfield IL 62702-5310 -
Danford, David A
8200 Dodge St , Omaha NE 68114-4113 -
Foran, Ronald B
444 Roxbury Rd Ste 1, Rockford IL 61107-5059 -
Maclellan-Tobert, Susan G
1836 South Ave , La Crosse WI 54601-5429 -
Valdes, Ximena
11100 Euclid Ave. , Cleveland OH 44106 -
Marcus, Barry
10210 N 92Nd St Ste 201, Scottsdale AZ 85258-4524 -
Martin, Ameeta B
575 S 70Th St Ste 425 , Lincoln NE 68510-2471 -
Capannari, Thomas Edward
707 N Michigan St Ste 316, South Bend IN 46601