Shankar, Arun J

Shankar, Arun J is an individual health care provider with primary practice located at 710 S Kenwood Ave , Moose Lake MN 55767-9405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Shankar, Arun J can be contacted via phone (218) 485-5541.

Contact Information

Primary practice address
710 S Kenwood Ave Moose Lake MN 55767-9405
Phone: (218) 485-5541
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 45384 Minnesota

Profile Details

NPI number 1164471108
LBN Legal business name Shankar, Arun J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Nov 10th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164471108 NPPES
Minnesota Other 45384 MN LICENSE
Minnesota MEDICAID 021690900 MN LICENSE

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