MEDICARE: DR. NAEL SHOMAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	57016980	OH

General Provider Information

NPI Number	:	1174852792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NAEL SHOMAN M.D.

Provider Business Mailing Address
First Line	:	231 ALBERT SABIN WAY
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45267-0528
Country	:	US
Telephone Number	:	513-558-4143
Fax Number	:	513-558-5203

Provider Business Practice Location Address
First Line	:	231 ALBERT SABIN WAY
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45267-0528
Country	:	US
Telephone Number	:	513-558-4143
Fax Number	:	513-558-5203

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2009
Last Update Date	:	12/10/2009

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