Individual
MAZIN SHACKOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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