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Individual

DR. LAITH ABUSHANAB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-9857
Mailing address
82 SMITHTOWN RD, BUDD LAKE, NJ 07828-1932

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
2024014340
MO

Other

Enumeration date
05/14/2021
Last updated
02/02/2026
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