Individual
JASON SHONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3525 OLENTANGY RIVER RD, STE 5360, COLUMBUS, OH 43214-3937
(614) 340-7747
(614) 340-7742
Mailing address
100 E CAMPUS VIEW BLVD, STE 160, COLUMBUS, OH 43235-4647
(614) 396-4750
(614) 396-4742
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35085818
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2569073
—
OH
01
—
P00245187
RR MEDICARE
OH
Enumeration date
01/17/2006
Last updated
05/14/2008
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