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Individual

DANIEL SHASHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
MEMORIAL SLOAN KETTERING CANCER CENTER, 1275 YORK AVENUE, NEW YORK, NY 10065
(212) 639-2000
Mailing address
985 BUCKINGHAM CIR NW, ATLANTA, GA 30327-2701
(917) 673-8695

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
075671
GA
2085R0001X
Radiation Oncology Physician
Primary
195589
NY
2085R0001X
Radiation Oncology Physician
56678
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01777242
NY
Enumeration date
12/06/2005
Last updated
07/21/2022
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