Provider Demographics
NPI:1801036132
Name:SHOLAR CENTER FOR AESTHETIC SURGERY
Entity Type:Organization
Organization Name:SHOLAR CENTER FOR AESTHETIC SURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALINA
Authorized Official - Middle Name:D
Authorized Official - Last Name:SHOLAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:812-401-7900
Mailing Address - Street 1:445 CROSS POINTE BLVD.
Mailing Address - Street 2:SUITE 230
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715-4013
Mailing Address - Country:US
Mailing Address - Phone:812-401-7900
Mailing Address - Fax:812-401-7910
Practice Address - Street 1:445 CROSS POINTE BLVD.
Practice Address - Street 2:SUITE 230
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:44715-4013
Practice Address - Country:US
Practice Address - Phone:812-401-7900
Practice Address - Fax:812-401-7910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-26
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01062143A2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty