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Dr. Andrei R Shustov, MD
Hematology & Oncology Physician in Seattle, Washington
NPI 1346247632

Andrei R Shustov is a Hematology & Oncology Physician based in Seattle, WA and is specialized in Hematology & Oncology. Andrei R Shustov practices in Seattle, WA and has the professional credentials of MD. The NPI Number for Andrei R Shustov is 1346247632 and holds a License No. MD00042672 (Washington).

The current practice location address for Andrei R Shustov is 825 Eastlake Avenue E, Seattle, WA and can be reached out via phone at 206-288-6739 and via fax at 206-288-6473.

Location: 825 Eastlake Avenue E, Seattle, WA, 98109-1023
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346247632
Provider Name
Andrei R Shustov
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
825 Eastlake Avenue E, Seattle, WA, 98109-1023
Phone Number
206-288-6739
Fax Number
206-288-6473
Provider Enumeration Date
07/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8421596 05 WA
institution
Provider Business Practice Location Address Details
Address
825 Eastlake Avenue E
City
Seattle
State
Washington
Zip
98109-1023
Phone Number
206-288-6739
Fax Number
206-288-6473
person
Provider Business Mailing Address Details
Address
825 Eastlake Avenue E
City
Seattle
State
Washington
Zip
98109-1023
Phone Number
206-288-6739
Fax Number
206-288-6473
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
MD00042672 (Washington)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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