Individual
DR. SHAYIBU HARRUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6500 HOSPITAL DR, HANNIBAL, MO 63401-6890
(573) 629-3300
(573) 629-3314
Mailing address
PO BOX 1239, 6500 HOSPITAL DRIVE, HANNIBAL, MO 63401-1239
(573) 629-3300
(573) 629-3314
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
2016030318
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05513481
—
MS
05
—
2153447
—
LA
Enumeration date
06/01/2010
Last updated
01/28/2022
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