Mohammed, Shaji A
Mohammed, Shaji A is an individual health care provider with primary practice located at 1 Good Samaritan Way , Mt. Vernon IL 62864-1010. 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. Mohammed, Shaji A can be contacted via phone (618) 899-1006.Contact Information
Primary practice address
1 Good Samaritan Way
Mt. Vernon IL 62864-1010
Phone: (618) 899-1006
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036161378 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036161378 | Illinois |
Profile Details
| NPI number | 1316504939 |
|---|---|
| LBN Legal business name | Mohammed, Shaji A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2019 |
| Last updated | Jun 26th, 2023 - about 3 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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