Individual
SHABBIR ESAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 HIGH ST, WILLIAMSPORT, PA 17701-3100
(570) 322-1161
(570) 322-2030
Mailing address
700 HIGH ST, WILLIAMSPORT, PA 17701-3100
(570) 322-1161
(570) 322-2030
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
MD042881L
PA
2085R0202X
Diagnostic Radiology Physician
Primary
MD042881L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012335710001
—
PA
Enumeration date
07/30/2006
Last updated
11/01/2012
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