DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. EDWIN J SHAKUN M.D.

MEDICARE: DR. EDWIN J SHAKUN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician01047025AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101047025BOTHERINCSR
201047025AOTHERININDIANA LICENSE

General Provider Information

NPI Number : 1467454660
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDWIN J SHAKUN M.D.
Provider Business Mailing Address
First Line : PO BOX 771846
Second Line :
City : DETROIT
State : MI
Zip : 48278-1846
Country : US
Telephone Number : 317-528-4800
Fax Number :
Provider Business Practice Location Address
First Line : 1001 N MADISON AVE
Second Line :
City : GREENWOOD
State : IN
Zip : 46142-4135
Country : US
Telephone Number : 317-888-3508
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 03/07/2023

Similar Medicare Providers

1598633166 — EMILY BRUMFIELD NP
Practice Location Address:
1001 N MADISON AVE
GREENWOOD, IN
46142-4135
Practice Phone: 317-528-7500
Practice Fax:
1922085042 — MARY A COOPER I M.D.
Practice Location Address:
1001 N MADISON AVE
GREENWOOD, IN
46142-4135
Practice Phone: 317-888-3508
Practice Fax: 317-888-5968
1972558385 — DR. TERRENCE D HAFFNER MD
Practice Location Address:
1001 N MADISON AVE
GREENWOOD, IN
46142-4135
Practice Phone: 317-888-3508
Practice Fax:
1538116850 — DR. TIMOTHY A BURRELL MD
Practice Location Address:
1001 N MADISON AVE
GREENWOOD, IN
46142-4135
Practice Phone: 317-888-3508
Practice Fax:
1528097607 — DR. YAMUNA KASARANENI M.D.
Practice Location Address:
1001 N MADISON AVE
GREENWOOD, IN
46142-4135
Practice Phone: 317-528-7500
Practice Fax: 317-528-7515
1932111598 — GARY THOMPSON MD
Practice Location Address:
1001 N MADISON AVE
GREENWOOD, IN
46142-4135
Practice Phone: 317-888-3508
Practice Fax: 317-888-5968

Directions to “ DR. EDWIN J SHAKUN M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.