Shahbandar, Tarek H
Shahbandar, Tarek H is an individual health care provider with primary practice located at 8687 Connecticut St Ste D, Merrillville IN 46410-5541. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Shahbandar, Tarek H can be contacted via phone (219) 750-9630.Contact Information
Primary practice address
8687 Connecticut St Ste D
Merrillville IN 46410-5541
Phone: (219) 750-9630
Fax: (219) 750-9451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 01058916A | Indiana |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 01058916A | Indiana |
Profile Details
| NPI number | 1922007749 |
|---|---|
| LBN Legal business name | Shahbandar, Tarek H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Sep 30th, 2015 - about 10 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 | 1922007749 | NPPES |
| Indiana | MEDICAID | 200489820A |
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