Individual
IYAD A SHABAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3515 MASSILLON RD STE 250, UNIONTOWN, OH 44685-7854
(330) 896-5651
Mailing address
3515 MASSILLON RD STE 250, UNIONTOWN, OH 44685-7854
(330) 896-5651
(308) 965-6853
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-042638
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0715597
—
OH
Enumeration date
11/21/2005
Last updated
09/28/2018
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