Individual
SHAFEE SALLOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 636-4200
Mailing address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 636-4259
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.129044
OH
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
35.129044
OH
208M00000X
Hospitalist Physician
35129044
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0200136
—
OH
Enumeration date
06/24/2012
Last updated
08/22/2024
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