Enas Mohamed Shanshen
Pediatric Cardiologist
400 N 9th St Fl 2
Springfield
, Illinois 62702-5310
Enas Mohamed Shanshen
Pediatric Cardiologist
400 N 9th St Fl 2
Springfield
, Illinois 62702-5310
(217) 545-8000
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About
Features
Specialties
- Pediatric Cardiologist
Languages spoken
- English
Location
First Address
- Enas Mohamed Shanshen
- 201 E Madison St Ste 328
- Springfield, IL
- Zip : 62702-5131
- Phone : (217) 545-8000
Second Address
- Enas Mohamed Shanshen
- 400 N 9th St Fl 2
- Springfield, IL
- Zip : 62702-5310
- Phone : (217) 545-8000
Reviews
FAQs
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Is Enas Mohamed Shanshen a sole practitioner?
Is Enas Mohamed Shanshen accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2080P0202X | Pediatric Cardiologist | 45984 | TX |
| Y | 2080P0202X | Pediatric Cardiologist | 46386 | TX |
National Provider Identifier
| NPI | 1093092389 |
|---|---|
| Provider Name | Enas Mohamed Shanshen |
| First Address | Springfield, IL 62702-5131 |
| Second Address | Springfield, IL 62702-5310 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/11/2011 |
| Last Update Date | 20/07/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200724170A | (05) | OK |
| 379876101 | (05) | TX |
| 379876102 | (05) | TX |
| 82004234 | (05) | NM |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.