Fadia, Shruti A
Fadia, Shruti A is an individual health care provider with primary practice located at 100 Navarre Pl Suite 5550, South Bend IN 46601-1156. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is her primary health care specialty. Fadia, Shruti A can be contacted via phone (574) 647-2550.Contact Information
Primary practice address
100 Navarre Pl Suite 5550
South Bend IN 46601-1156
Phone: (574) 647-2550
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MT192950 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01074405A | Indiana |
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | 01074405A | Indiana |
Profile Details
| NPI number | 1669634770 |
|---|---|
| LBN Legal business name | Fadia, Shruti A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2008 |
| Last updated | Mar 15th, 2021 - about 5 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 | 1669634770 | NPPES |
| Indiana | MEDICAID | 201247820 |
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