Individual
DR. SHAHIN SHAHNIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2809 E HAMILTON AVE, SUITE 107, EAU CLAIRE, WI 54701-6863
(715) 834-1555
(715) 835-0263
Mailing address
2809 E. HAMILTON AVE, SUITE 107, EAU CLAIRE, WI 54707-2275
(715) 834-1555
(715) 835-0263
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
54997-20
WI
208M00000X
Hospitalist Physician
54997-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61113
DEAN HEALTH PLAN
WI
Enumeration date
04/07/2008
Last updated
03/14/2013
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