Individual
DR. ANDREI R SHUSTOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 EASTLAKE AVENUE E, G3-200, SEATTLE, WA 98109-1023
(206) 288-6739
(206) 288-6473
Mailing address
825 EASTLAKE AVENUE E, G3-200, SEATTLE, WA 98109-1023
(206) 288-6739
(206) 288-6473
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD00042672
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8421596
—
WA
Enumeration date
07/01/2005
Last updated
05/29/2008
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