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Individual

SHAMIS T. HASAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5757 PARK CENTER CT., TOLEDO, OH 43615
(419) 474-4064
(419) 472-2772
Mailing address
5757 PARK CENTER CT., TOLEDO, OH 43615
(419) 474-4064
(419) 472-2772

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
125077330
IL
2085R0202X
Diagnostic Radiology Physician
Primary
35.143601
OH

Other

Enumeration date
07/02/2016
Last updated
01/24/2024
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