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Individual
SHOUKRI MINA WISA
Active
Individual
SHOUKRI MINA WISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1705271
NY
207RH0003X
Hematology & Oncology Physician
Primary
170527
NY
Other
Enumeration date
05/08/2006
Last updated
04/28/2021
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