Shankar Ezom
Shankar Ezom is a Case Manager/Care Coordinator in Fargo, North Dakota. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
7220 28th St SFargo, ND 58104-4589
Phone: (701) 630-9912
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Peer Specialist | Taxonomy 175T00000X |
Record details
| NPI number | 1669191979 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 22, 2022 |
| Last updated in NPPES | January 16, 2023 |
| Certification date | January 16, 2023 |
| Mailing address | 7220 28th St S, Fargo, ND 58104-4589 |
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