Individual
JONATHAN SHIRSHEKAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 884-9066
(573) 884-3037
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-6626
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2017034294
MO
208M00000X
Hospitalist Physician
Primary
2017034294
MO
Other
Enumeration date
06/25/2015
Last updated
09/23/2019
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