Individual
RONALD SHASHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1140 LEXINGTON RD, SUITE 102, GEORGETOWN, KY 40324-9330
(502) 867-7806
(502) 867-7836
Mailing address
1140 LEXINGTON RD, SUITE 102, GEORGETOWN, KY 40324-9330
(502) 867-7806
(502) 867-7836
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
39850
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39850
LICENSE
KY
05
—
64114002
—
KY
01
—
MD0000042641
TN MEDICAL LICENSE
TN
Enumeration date
05/11/2006
Last updated
02/21/2014
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