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Dr. Shaju Shamsuddin, MD
Radiation Oncology Physician in Warren, Ohio
NPI 1982696878

Shaju Shamsuddin is a Radiation Oncology Physician based in Warren, OH and is specialized in Radiation Oncology. Shaju Shamsuddin practices in Warren, OH and has the professional credentials of MD. The NPI Number for Shaju Shamsuddin is 1982696878 and holds a License No. MD062322L (Ohio).

The current practice location address for Shaju Shamsuddin is 667 Eastland Ave Se, Warren, OH and can be reached out via phone at 330-841-4126 and via fax at 330-841-4598.

Location: 667 Eastland Ave Se, Warren, OH, 44484-4503
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982696878
Provider Name
Shaju Shamsuddin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
667 Eastland Ave Se, Warren, OH, 44484-4503
Phone Number
330-841-4126
Fax Number
330-841-4598
Provider Enumeration Date
08/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101275823 05 PA
H440680 01 OH MEDICARE PTAN
2075301 05 OH
institution
Provider Business Practice Location Address Details
Address
667 Eastland Ave Se
City
Warren
State
Ohio
Zip
44484-4503
Phone Number
330-841-4126
Fax Number
330-841-4598
person
Provider Business Mailing Address Details
Address
667 Eastland Ave Se
City
Warren
State
Ohio
Zip
44484-4503
Phone Number
330-841-4126
Fax Number
330-841-4598
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
MD062322L (Pennsylvania)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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