Organization
CROOKSHANK CANCER CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAGIH SHEHATA MD (CEO, MD)
(513) 451-0097
Entity
Organization
Contact information
Practice address
5049 CROOKSHANK RD, CINCINNATI, OH 45238-3399
(513) 451-0097
Mailing address
PO BOX 10050, MANHATTAN BEACH, CA 90267-7550
(513) 451-0097
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE5975
RAILROAD MEDICARE
OH
Enumeration date
05/15/2006
Last updated
07/09/2008
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