Individual
DR. HASSAN SHAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 N LAKE SHORE DR, 12TH FLOOR, CHICAGO, IL 60657-5640
(205) 215-8804
Mailing address
25 HACKETT BLVD, MC 141, ALBANY, NY 12208-3462
(518) 262-5185
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.053924
IL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
271044
NY
Other
Enumeration date
07/14/2008
Last updated
09/08/2017
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