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Individual

ELHAM SHANEHSAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4900 HOUSTON ROAD, FLORENCE, KY 41042-4824
(859) 301-8074
Mailing address
1201 LANGHORNE NEWTOWN RD, LANGHORNE, PA 19047-1201
(215) 710-2000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
59418
KY
208M00000X
Hospitalist Physician
01094752A
IN
208M00000X
Hospitalist Physician
Primary
59418
KY

Other

Enumeration date
06/13/2021
Last updated
09/18/2024
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