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Individual

DR. GINA ROSHDY HANNA SHOKRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2600 FERRY ST, LAFAYETTE, IN 47904-3055
(765) 448-8000
(765) 448-8858
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01087562A
IN
207R00000X
Internal Medicine Physician
036149428
IL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
01087562A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11021109A
IN

Other

Enumeration date
06/03/2016
Last updated
10/04/2022
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