Individual
DR. SHAWN VASOO SUSHILAN
Active
Individual
DR. SHAWN VASOO SUSHILAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125053720
IL
207RI0200X
Infectious Disease Physician
Primary
55815
MN
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
106210
MN
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
55815
MN
Other
Enumeration date
08/07/2008
Last updated
06/28/2013
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