Individual
YAHYA EL-SHINNAWY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1901 W WESTERN AVE, SOUTH BEND, IN 46619-3569
(317) 576-1335
Mailing address
8003 CASTLEWAY DR, INDIANAPOLIS, IN 46250-1946
(317) 576-1335
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
38125
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0288175
—
IA
Enumeration date
06/01/2006
Last updated
01/24/2023
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