Mehdi, Shaun Sadruddin

Mehdi, Shaun Sadruddin is an individual health care provider with primary practice located at 6200 Central Ave , Portage IN 46368-3702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mehdi, Shaun Sadruddin can be contacted via phone (219) 762-1040.

Contact Information

Primary practice address
6200 Central Ave Portage IN 46368-3702
Phone: (219) 762-1040
Fax: (219) 762-1041
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125071534 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 02005976A Indiana

Profile Details

NPI number 1851812572
LBN Legal business name Mehdi, Shaun Sadruddin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2017
Last updated Jul 21st, 2022 - about 4 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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