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Individual
DR. ISAAC BERNARD SHAW
Active
Individual
DR. ISAAC BERNARD SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.051823
OH
208D00000X
General Practice Physician
35.051823
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000K3526
—
NM
05
—
25829823
—
NM
01
—
8HL317
MEDICARE PROVIDER#
NM
01
—
HSZ196
MEDICARE PART B
NM
Enumeration date
10/16/2006
Last updated
10/13/2011
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