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Individual

DR. WAGIH M SHEHATA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7691 FIVE MILE ROAD, SUITE 203, CINCINNATI, OH 45230
(513) 381-2455
(513) 231-7055
Mailing address
DEPT 2289, CINCINNATI, OH 45263-0001
(513) 421-3504
(513) 231-7055

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
35035374S
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0530796
OH
01
P00303025
RR MEDICARE CCC
OH
01
P00318434
RR MCARE ECC
OH
01
P00395603
RR MEDICARE ERO
OH
Enumeration date
01/23/2006
Last updated
02/17/2016
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