Individual
MAZIN SHACKOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1330 MERCY DR NW, SUITE 420, CANTON, OH 44708-2626
(330) 580-4697
(330) 588-4698
Mailing address
2665 WINGATE WAY NW, APT 4, CANTON, OH 44708-8945
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036171144
IL
208600000X
Surgery Physician
Primary
35120787
OH
2086S0102X
Surgical Critical Care Physician
036171144
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084650
—
OH
Enumeration date
12/31/2007
Last updated
08/18/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us