Individual
LAITH I. ABUSHAHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
3410 WORTH ST STE 400, DALLAS, TX 75246-2092
(214) 370-1000
(214) 370-1986
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
40874
IA
207RX0202X
Medical Oncology Physician
35.133806
OH
207RX0202X
Medical Oncology Physician
40874
IA
207RX0202X
Medical Oncology Physician
Primary
T9620
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0289313
—
OH
Enumeration date
02/28/2009
Last updated
04/24/2025
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