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Enas Mohamed Shanshen, MD
Student in an Organized Health Care Education/Training Program in Springfield, Illinois
NPI 1093092389

Enas Mohamed Shanshen is a Student in an Organized Health Care Education/Training Program based in Springfield, IL. Enas Mohamed Shanshen practices in Springfield, IL and has the professional credentials of MD. The NPI Number for Enas Mohamed Shanshen is 1093092389 and holds a License No. 45984 (Illinois).

The current practice location address for Enas Mohamed Shanshen is 400 N 9Th St Fl 2, Springfield, IL and can be reached out via phone at 217-545-8000.

Location: 400 N 9Th St Fl 2, Springfield, IL, 62702-5131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093092389
Provider Name
Enas Mohamed Shanshen
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
400 N 9Th St Fl 2, Springfield, IL, 62702-5131
Phone Number
217-545-8000
Fax Number
Provider Enumeration Date
11/15/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
82004234 05 NM
379876101 05 TX
379876102 05 TX
200724170A 05 OK
institution
Provider Business Practice Location Address Details
Address
400 N 9Th St Fl 2
City
Springfield
State
Illinois
Zip
62702-5310
Phone Number
217-545-8000
Fax Number
person
Provider Business Mailing Address Details
Address
400 N 9Th St Fl 2
City
Springfield
State
Illinois
Zip
62702-5310
Phone Number
217-545-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Cardiology
Taxonomy
2080P0202X
License No.
46386 (Texas)
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
45984 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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