Enas Mohamed Shanshen

MD | Pediatric Cardiology | Female

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Complete Profile:

Enas Mohamed Shanshen basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Enas Mohamed Shanshen
Credential :	MD
Gender :	Female

Business Address:

Enas Mohamed Shanshen address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	400 N 9th St Fl 2 Springfield, IL, 62702-5310 United States
Phone Number :	217-545-8000

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1093092389
NPI Entity Type :	Individual
First Enrolment Date :	15 Nov, 2011
Last Updated On :	20 Jul, 2021

Medicare Participation:

Enas Mohamed Shanshen participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	7012156870
Medicare Enrollment ID :	I20210721001706
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	1997
Accepts Medicare?	Yes. Enas Mohamed Shanshen accepts medicare insurance.

Group Practice Association:

Enas Mohamed Shanshen is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Enas Mohamed Shanshen is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Siu Physicians And Surgeons Inc	2365352820	256	400 N 9th St 2nd Floor Clinic A Springfield, IL - 627025310 Ph: 2175458000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Enas Mohamed Shanshen are as mentioned. Primary taxonomy code for Enas Mohamed Shanshen, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	No	45984	TX
2080P0202X	Pediatrics Pediatric Cardiology	Yes	46386	TX
390200000X	Student in an Organized Health Care Education/Training Program	No

Legacy Identifiers:

Other legacy medical identifiers of Enas Mohamed Shanshen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
379876102	MEDICAID	TX
82004234	MEDICAID	NM
200724170A	MEDICAID	OK
379876101	MEDICAID	TX

Other Practice Locations:

Practice Address	City, State	Phone Number
1400 S COULTER ST, AMARILLO, TX, 79106 United States	AMARILLO, TX	806-414-9800

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	201 E Madison St Ste 328 Springfield, IL, 62702-5131 United States
Phone Number :	217-545-8000

Business Location:

Patients can refer following map for directions to Enas Mohamed Shanshen practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.