Provider Demographics
NPI:1629087358
Name:SHINDEL, STUART E (MD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:E
Last Name:SHINDEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:295 STONER AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-5662
Mailing Address - Country:US
Mailing Address - Phone:410-848-1818
Mailing Address - Fax:410-876-3156
Practice Address - Street 1:295 STONER AVE
Practice Address - Street 2:#102
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5698
Practice Address - Country:US
Practice Address - Phone:410-848-1818
Practice Address - Fax:410-876-3156
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0064316208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD411448500Medicaid
MDI64346Medicare UPIN
MD411448500Medicaid