Shenoi, Mithun Mohana

Shenoi, Mithun Mohana is an individual health care provider with primary practice located at 11104 Parkview Circle Drive Suite 320 , Fort Wayne IN 46845. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Shenoi, Mithun Mohana can be contacted via phone (260) 266-5300.

Contact Information

Primary practice address
11104 Parkview Circle Drive Suite 320 Fort Wayne IN 46845
Phone: (260) 266-5300
Fax: (260) 266-5314
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 01079692A Indiana

Profile Details

NPI number 1336482496
LBN Legal business name Shenoi, Mithun Mohana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2013
Last updated Oct 12th, 2022 - 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 1336482496 NPPES
Indiana MEDICAID 300015291

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