Individual
DR. ELENA SHAGISULTANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
1101 CHESTNUT ST FL 14, PHILADELPHIA, PA 19107-3612
(215) 955-8874
(215) 955-2340
Mailing address
1101 CHESTNUT ST FL 14, PHILADELPHIA, PA 19107-3612
(215) 955-8874
(215) 955-2340
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A118631
CA
207R00000X
Internal Medicine Physician
DR.0055547
CO
207R00000X
Internal Medicine Physician
MD447066
PA
207RH0003X
Hematology & Oncology Physician
DR.0055547
CO
207RX0202X
Medical Oncology Physician
DR.0055547
CO
207RX0202X
Medical Oncology Physician
Primary
MD447066
PA
Other
Enumeration date
11/04/2011
Last updated
04/15/2026
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