Uddin, Shahaab

Uddin, Shahaab is an sole proprietor health care provider with primary practice located at 1850 State St , New Albany IN 47150-4990. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Uddin, Shahaab can be contacted via phone (812) 944-7701.

Contact Information

Primary practice address
1850 State St New Albany IN 47150-4990
Fax: (812) 981-6505
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01073189B Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036131145 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125058873 Illinois

Profile Details

NPI number 1669784872
LBN Legal business name Uddin, Shahaab
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2010
Last updated Feb 8th, 2023 - about last year

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 1669784872 NPPES
Illinois Other 036131145 STATE LICENSE
Illinois MEDICAID 201187680 STATE LICENSE

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