Individual
DR. SEERIN VIVIANE SHATAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3035 HAMILTON MASON RD STE 204, FAIRFIELD TOWNSHIP, OH 45011-5545
(513) 853-1300
(513) 451-4118
Mailing address
3035 HAMILTON MASON RD STE 204, FAIRFIELD TOWNSHIP, OH 45011-5545
(513) 853-1300
(513) 451-4118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125053868
IL
207RH0003X
Hematology & Oncology Physician
130298
OH
207RH0003X
Hematology & Oncology Physician
Primary
35130298
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0207910
—
OH
Enumeration date
04/13/2009
Last updated
11/13/2018
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