Manoushagian, Shant John
Manoushagian, Shant John is an individual health care provider with primary practice located at 9981 S Healthpark Dr , Fort Myers FL 33908-3618. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Manoushagian, Shant John can be contacted via phone (239) 343-6860.Contact Information
Primary practice address
9981 S Healthpark Dr
Fort Myers FL 33908-3618
Phone: (239) 343-6860
Fax: (239) 343-6162
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD457729 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 292937 | New York |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME167029 | Florida |
Profile Details
| NPI number | 1205191699 |
|---|---|
| LBN Legal business name | Manoushagian, Shant John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2012 |
| Last updated | Jun 11th, 2024 - about 2 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 | 1205191699 | NPPES |
| Florida | MEDICAID | 121555500 |
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