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Organization
SHABAN SHOSHI MD INC
Active
Organization
SHABAN SHOSHI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHABAN A SHOSHI MD (PHYSICIAN)
(740) 266-8004
Entity
Organization
Contact information
Practice address
4100 JOHNSON ROAD, SUITE 200, STEUBENVILLE, OH 43952
(740) 266-8004
(740) 266-8005
Mailing address
4100 JOHNSON ROAD, SUITE 200, STEUBENVILLE, OH 43952
(740) 266-8004
(740) 266-8005
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35073795S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2054717
—
OH
Enumeration date
10/28/2006
Last updated
11/19/2009
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