Individual
DR. SHANA ZWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01062069A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000487658
ANTHEM (IPA)
IN
01
—
000000535672
ANTHEM
IN
01
—
000000544429
ANTHEM, IIP
IN
01
—
1316128614
NPI, IIP GROUP
IN
01
—
1518990738
NPI, INDIVIDUAL
IN
05
—
200862770
—
IN
01
—
202141
CSHCS
IN
01
—
7364860
AETNA
IN
Enumeration date
07/09/2006
Last updated
11/30/2020
Update your record
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