Shobana Pandian is a Pediatrics in Fort Wayne, Indiana. Shobana Pandian practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Shobana Pandian is 1619940970. The last update date is 2023-11-27.
Shobana Pandian's current location address is 10515 Illinois Rd, Fort Wayne, Indiana. You can contact this provider via phone number 2603739200 and fax number 2603739219. The mailing address for Shobana Pandian is 10515 Illinois Rd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shobana Pandian |
|---|---|
| Address | 10515 Illinois Rd, Fort Wayne, Indiana |
| Phone Number | 2603739200 |
| Fax Number | 2603739219 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1619940970 |
|---|---|
| Provider Enumeration Date | 2006-02-08 |
| Last Updated Date | 2023-11-27 |
Provider Mailing Address Detail
| Address | 10515 Illinois Rd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 46814 |
| Phone Number | 2603739200 |
| Fax Number | 2603739219 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 01058626A |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 146470C5 | IN | MEDICARE | |
| 200856050 | IN | -- | |
| 658068 | IN | ANTHEM |
Post Comment/ Review Below
What is the unique provider identifier assigned to Shobana Pandian?
The Shobana Pandian has been issued the NPI (National Provider Identifier) 1619940970 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Shobana Pandian is located?
The Shobana Pandian is situated at the following address: 10515 Illinois Rd, Fort Wayne, IN, 46814.
What is the area of specialization for Shobana Pandian, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shobana Pandian is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.
On what date was the 1619940970 assigned to Shobana Pandian?
The Shobana Pandian was issued its 1619940970 on 2006-02-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Shobana Pandian, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shobana Pandian, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-11-27.