Provider Demographics
NPI:1497496442
Name:BOBBS, SHAUNI LEE (DO, MS)
Entity type:Individual
Prefix:
First Name:SHAUNI
Middle Name:LEE
Last Name:BOBBS
Suffix:
Gender:F
Credentials:DO, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:210 RED IVY DR
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-5084
Mailing Address - Country:US
Mailing Address - Phone:216-640-4928
Mailing Address - Fax:
Practice Address - Street 1:521 N SANDUSKY ST
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:OH
Practice Address - Zip Code:44811-1180
Practice Address - Country:US
Practice Address - Phone:419-483-6267
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.017694207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine