Shaya Mokfi


Address: 520 Park Place Ct, Suite 300, Mishawaka, IN 46545-3581

Shaya Mokfi (NPI# 1912952151, PAC ID# 8426110735) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1912952151
PAC ID by PECOS 8426110735
Professional Enrollment ID I20100729000027
Full Name Shaya Mokfi
Address 520 Park Place Ct
Suite 300
Mishawaka
IN 46545-3581
Gender M
Medical School UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduation Year 1994
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
151300 COMMUNITY HOSPITAL OF BREMEN INC
150012 SAINT JOSEPH REGIONAL MEDICAL CENTER
150058 MEMORIAL HOSPITAL OF SOUTH BEND

Other Locations

Address Phone Organization
520 Park Place Ct, Suite 300, Mishawaka, IN 46545-3581

Organization Information

Office Location

Street Address 520 PARK PLACE CT
SUITE 300
City MISHAWAKA
State IN
Zip 46545-3581

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Marielvea A Banks Physician Assistant Pic Indiana PC 505 W Cleveland Rd, Mishawaka, IN 46545-1003
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Rami Musleh Physician Assistant Pic Indiana PC 505 W Cleveland Rd, Mishawaka, IN 46545-1003
Meghan M Barrus Physician Assistant Pic Indiana PC 505 W Cleveland Rd, Mishawaka, IN 46545-1003
Ann M Grubb Physician Assistant Pic Indiana PC 505 W Cleveland Rd, Mishawaka, IN 46545-1003
Duane M Wampler Physician Assistant Pic Indiana PC 505 W Cleveland Rd, Mishawaka, IN 46545-1003
Eugene Huang Emergency Medicine Pic Indiana PC 505 W Cleveland Rd, Mishawaka, IN 46545-1003
Steven D Whaley Anesthesiology Pic Indiana PC 505 W Cleveland Rd, Mishawaka, IN 46545-1003
Angela Blagojevski Physician Assistant Pic Indiana PC 505 W Cleveland Rd, Mishawaka, IN 46545-1003
Danny E Winn Physician Assistant Pic Indiana PC 505 W Cleveland Rd, Mishawaka, IN 46545-1003
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Competitor

Search similar physicians

City MISHAWAKA
Zip Code 46545
Specialty INTERNAL MEDICINE
City + Specialty MISHAWAKA + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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