SHAN JOSEPH ANTONY MD NPI 1093444382

NPI Information

Shan Joseph Antony, MD is a student in an organized health care education training program in South Bend, IN. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Shan Joseph Antony, MD NPI is 1093444382. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

714 N MICHIGAN ST
SOUTH BEND, IN
ZIP 46601-035
Phone: (574) 647-7477

The enumeration date for this NPI number is 6/10/2022 and was last updated on 6/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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