Provider Demographics
NPI:1629338777
Name:NARANJO, SHAWN PHILLIP (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAWN
Middle Name:PHILLIP
Last Name:NARANJO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8558 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-7032
Mailing Address - Country:US
Mailing Address - Phone:219-392-7084
Mailing Address - Fax:219-703-6854
Practice Address - Street 1:6920 INDIANAPOLIS BLVD
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:IN
Practice Address - Zip Code:46324
Practice Address - Country:US
Practice Address - Phone:219-763-8112
Practice Address - Fax:219-844-9099
Is Sole Proprietor?:No
Enumeration Date:2012-05-23
Last Update Date:2022-02-01
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Provider Licenses
StateLicense IDTaxonomies
IN01080303A207V00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology