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Individual

DR. IMAD SHAWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
701 E COUNTY LINE ROAD, SUITE 101, GREENWOOD, IN 46143-1070
(317) 885-2334
(317) 885-2869
Mailing address
701 E COUNTY LINE ROAD, SUITE 101, GREENWOOD, IN 46143-1070
(317) 885-2334
(317) 885-2869

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01060327A
IN
207RP1001X
Pulmonary Disease Physician
Primary
01060327A
IN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
01060327A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200511510
IN
Enumeration date
01/23/2006
Last updated
05/09/2023
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