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NPI Code Detail

MEDICARE: DR. SAMUEL SHAHEEN M.D.

MEDICARE: DR. SAMUEL SHAHEEN 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
1208600000XSurgery Physician4301071618MI

General Provider Information

NPI Number : 1437142577
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMUEL SHAHEEN M.D.
Provider Business Mailing Address
First Line : 912 S WASHINGTON AVE
Second Line : STE 1
City : SAGINAW
State : MI
Zip : 48601-2564
Country : US
Telephone Number : 989-790-1001
Fax Number : 989-790-1002
Provider Business Practice Location Address
First Line : 912 S WASHINGTON AVE STE 1
Second Line :
City : SAGINAW
State : MI
Zip : 48601-2578
Country : US
Telephone Number : 989-790-1001
Fax Number : 989-790-1002
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2005
Last Update Date : 09/27/2023

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Directions to “ DR. SAMUEL SHAHEEN M.D.” Practice Location

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