J Kevin Shushtari in Orlando - Internal Medicine

J Kevin Shushtari - NPI 1417923160

J Kevin Shushtari is a Internal Medicine in Orlando, Florida. J Kevin Shushtari practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for J Kevin Shushtari is 1417923160. The last update date is 2017-10-13.

J Kevin Shushtari's current location address is Po Box 863407, Orlando, Florida. You can contact this provider via phone number 9419174896 and fax number 9419176884. The mailing address for J Kevin Shushtari is Po Box 863407, Orlando, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name J Kevin Shushtari
Address Po Box 863407, Orlando, Florida
Phone Number 9419174896
Fax Number 9419176884
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1417923160
Provider Enumeration Date 2006-02-23
Last Updated Date 2017-10-13

Provider Mailing Address Detail

Address Po Box 863407
City Orlando
State Florida (FL)
Post Code 328863407
Phone Number 9419174896
Fax Number 9419176884

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No ME121844
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3114253 AETNA
1360023 CT --
110247602 RAILROAD MEDICARE
1221925 UNITED
010036002CT01 CT BLUE CROSS
2V2738 HEALTHNET
P2832183 OXFORD

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FAQs about J Kevin Shushtari

What is the J Kevin Shushtari's unique identification number?

The J Kevin Shushtari has been assigned the NPI (National Provider Identifier) Number 1417923160 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where J Kevin Shushtari is located?

The J Kevin Shushtari is situated at the following address: Po Box 863407, Orlando, FL, 328863407.

What is the J Kevin Shushtari's specialty and taxonomy code?

The J Kevin Shushtari's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.

On what date did the J Kevin Shushtari receive its 1417923160 assignment from the Centers for Medicare & Medicaid Services?

The J Kevin Shushtari was assigned its 1417923160 by the Centers for Medicare & Medicaid Services on 2006-02-23.

When was the information regarding J Kevin Shushtari, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to J Kevin Shushtari, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-10-13.

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